Individual
SELINA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 PICO AVE, SAN MARCOS, CA 92069-3709
(760) 290-2430
Mailing address
255 PICO AVE, SAN MARCOS, CA 92069-3709
(760) 290-2430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
163WS0200X
School Registered Nurse
Primary
95355272
CA
Other
Enumeration date
08/21/2019
Last updated
02/19/2026
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