Individual
MRS. TERESA R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-4148
(916) 734-4452
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-4148
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21642
CA
363LP0200X
Pediatric Nurse Practitioner
AP3950
AZ
Other
Enumeration date
02/24/2011
Last updated
02/07/2022
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