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Individual

AMANDA G GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
241 E CHAPARRAL ST, RIALTO, CA 92376-2801
(951) 534-1330
Mailing address
1217 LILAC RIDGE DR, PERRIS, CA 92571-9410
(951) 534-1330

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
365530028
CA

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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