Individual
MICHELE AIDA DOMINQUE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
900 EAST HAMILTON AVE, STE 220, CAMPBELL, CA 95008
(408) 371-7111
Mailing address
900 E HAMILTON AVE, STE 220, CAMPBELL, CA 95008-0664
(408) 371-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN443870
CA
363LP1700X
Perinatal Nurse Practitioner
RN443870
CA
367A00000X
Advanced Practice Midwife
Primary
7189
CA
367A00000X
Advanced Practice Midwife
NMW1038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN443870
—
CA
Enumeration date
12/12/2006
Last updated
07/29/2015
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