Individual
LETICIA GONZALES OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
6154 MISSION GORGE RD STE 120, SAN DIEGO, CA 92120-3435
(619) 277-6666
Mailing address
6154 MISSION GORGE RD STE 120, SAN DIEGO, CA 92120-3435
(619) 277-6666
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XMEAUQ
CA
Other
Enumeration date
11/19/2012
Last updated
08/10/2023
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