Individual
IRMA GONZALEZ CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BROADWAY ST STE 70, KING CITY, CA 93930-2866
(831) 386-6870
Mailing address
806 BARBERA WAY, GONZALES, CA 93926-9440
(831) 229-5196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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