Individual
MONA LISA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(818) 691-5110
Mailing address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(818) 961-5110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
194700900
CA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
Primary
—
CA
Other
Enumeration date
03/11/2021
Last updated
04/13/2026
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