Individual
SANDRA LC GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 LASHLEE LN, SAN YSIDRO, CA 92173-2119
(619) 708-3460
Mailing address
1855 LASHLEE LN, SAN YSIDRO, CA 92173-2119
(619) 708-3460
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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