Individual
MRS. KALESHA GONZALEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
21118 AMIE AVENUE, TORRANCE, CA 90503
(310) 707-6453
Mailing address
21118 AMIE AVENUE, TORRANCE, CA 90503
(310) 707-6453
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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