Individual
CARLA A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 654-8936
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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