Individual
ABBEY MAE GOZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(858) 264-5858
Mailing address
2070 E GRAND AVE APT B, ESCONDIDO, CA 92027-3429
(562) 303-8679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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