Individual
CONSUELO SONIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7293 DUMOSA AVE STE 2, YUCCA VALLEY, CA 92284-3700
(760) 365-2233
Mailing address
7293 DUMOSA AVE STE 2, YUCCA VALLEY, CA 92284-3700
(760) 365-2233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
706288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706288
MEDICAL
CA
Enumeration date
04/27/2020
Last updated
04/27/2020
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