Individual
INGRID GONZALEZ MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 INLAND EMPIRE BLVD STE 103, ONTARIO, CA 91764-5565
(909) 235-9875
Mailing address
639 E 4TH ST UNIT B, ONTARIO, CA 91764-2836
(909) 717-3319
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8922
CA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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