Individual
GERALDINE GONZALEZ PABLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6000 SANTA ROSA RD, CAMARILLO, CA 93012-7101
(805) 388-1511
Mailing address
15011 BLACKHAWK ST, MISSION HILLS, CA 91345-2501
(818) 943-8972
(818) 838-7253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27758
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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