Individual
DIANA LIZETTE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
6711 CORTE TERCERA, MARTINEZ, CA 94553-5945
(925) 286-7362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640703
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001370
CA
Other
Enumeration date
08/05/2017
Last updated
03/06/2025
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