Individual
CLARISA ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 ATLANTIC AVE STE 210, LONG BEACH, CA 90807-4569
(310) 337-1550
Mailing address
732 W 135TH ST, GARDENA, CA 90247-2149
(323) 975-1118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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