Individual
GENESIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(909) 551-6714
Mailing address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(909) 551-6714
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/20/2025
Last updated
05/08/2025
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