Individual
JEANNIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7746 AIRPORT BLVD, LOS ANGELES, CA 90045-1671
(310) 913-1543
Mailing address
7746 AIRPORT BLVD, LOS ANGELES, CA 90045-1671
(310) 913-1543
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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