Individual
CRYSTAL DELFINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5756 N MARKS AVE, FRESNO, CA 93711-2171
(559) 421-8980
Mailing address
1480 E PORTALS AVE, FRESNO, CA 93710-6442
(559) 421-8980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6612
CA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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