Individual
MRS. AGNES E GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4955 VAN NUYS BLVD STE 411, SHERMAN OAKS, CA 91403-1824
(818) 784-1195
Mailing address
4955 VAN NUYS BLVD STE 411, SHERMAN OAKS, CA 91403-1824
(818) 784-1195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95012951
CA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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