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Individual

MISS ALEXANDRA K GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4511
Mailing address
7024 SANDWICH PL, ROSEVILLE, CA 95747-4239
(916) 337-0682

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00401900
NJ
363A00000X
Physician Assistant
Primary
54049
CA

Other

Enumeration date
10/31/2014
Last updated
08/29/2022
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