Individual
INGRID ABIGAIL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N TUSTIN AVE STE A, SANTA ANA, CA 92705-3509
(714) 247-0300
Mailing address
PO BOX 155, MIDWAY CITY, CA 92655-0155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109934
—
CA
Enumeration date
08/23/2022
Last updated
08/23/2022
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