Individual
ELIDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1429 N ACACIA AVE, REEDLEY, CA 93654
(559) 638-6027
(559) 638-7196
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-4200
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP4051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4051
CA NP LIC#
CA
Enumeration date
03/29/2007
Last updated
08/26/2019
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