Individual
CECILLI RENEE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12828 KUUT, FORT JONES, CA 96032-9414
(707) 391-6009
Mailing address
12828 KUUT, FORT JONES, CA 96032-9414
(707) 391-6009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95098348
CA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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