Individual
CORA MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 W WORKMAN AVE, WEST COVINA, CA 91790-2129
(626) 262-7785
Mailing address
410 N 3RD ST APT A, ALHAMBRA, CA 91801-2369
(626) 262-7785
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/08/2010
Last updated
05/17/2013
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