Individual
CAROL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44421 10TH ST W STE A, LANCASTER, CA 93534-3335
(818) 654-3912
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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