Individual
AMANDA ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
265 S ANITA DR, ORANGE, CA 92868-3355
(949) 749-2500
Mailing address
615 W CIVIC CENTER DR, SANTA ANA, CA 92701-4006
(714) 361-7950
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695354
CA
Other
Enumeration date
03/11/2019
Last updated
03/25/2022
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