Individual
NADIA DEEANN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3749 N FRUIT AVE APT B, FRESNO, CA 93705-5233
(559) 813-4047
Mailing address
3749 N FRUIT AVE APT B, FRESNO, CA 93705-5233
(559) 813-4047
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01177840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SSN
NADIA GONZALEZ
CA
Enumeration date
03/10/2021
Last updated
03/10/2021
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