Individual
EDNA M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23275 GUINEA ST, LAKE FOREST, CA 92630-3830
(949) 257-5446
Mailing address
23275 GUINEA ST, LAKE FOREST, CA 92630-3830
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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