Individual
ANGELICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15886 GALE AVE, HACIENDA HEIGHTS, CA 91745-1601
(626) 494-2205
Mailing address
900 N HACIENDA BLVD APT 75, LA PUENTE, CA 91744-2807
(626) 494-2205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
34478
CA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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