Individual
MISS HILDA DANIELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29377 RANCHO CALIFORNIA RD, TEMECULA, CA 92591
(951) 595-4673
Mailing address
23771 CORK OAK CIR, MURRIETA, CA 92562-2070
(915) 345-7863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23278
CA
235Z00000X
Speech-Language Pathologist
24942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23278
SPEECH LANGUAGE PATHOLOGY LICENSE
CA
Enumeration date
06/22/2007
Last updated
08/13/2018
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