Individual
BREANNA LIZETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5961 FILLMORE WAY, FONTANA, CA 92336-5383
(951) 616-4844
Mailing address
5961 FILLMORE WAY, FONTANA, CA 92336-5383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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