Individual
LIZBETH GONZALEZ MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS I
Contact information
Practice address
920 16TH ST STE B, MODESTO, CA 95354-1119
(209) 558-4595
(209) 558-8031
Mailing address
920 16TH ST, MODESTO, CA 95354-1119
(209) 558-4595
(209) 558-8031
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
07/20/2023
Last updated
05/13/2025
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