Individual
MS. ALICIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2265 E 103RD ST, LOS ANGELES, CA 90002-3132
(323) 569-7183
(323) 569-0156
Mailing address
3338 S GAFFEY ST, #7, SAN PEDRO, CA 90731-6874
(310) 918-4209
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN63609
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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