Individual
VIVIAN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 TAHOE CIR, APT A, HEMET, CA 92545-5709
(951) 663-2257
Mailing address
2345 TAHOE CIR APT A, HEMET, CA 92545-5709
(951) 663-2257
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C2587840
CA
Other
Enumeration date
12/08/2010
Last updated
07/18/2014
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