Individual
COLLEEN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 644-2040
Mailing address
740 E MCKINLEY AVE, POMONA, CA 91767-3228
(562) 206-5098
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
06/13/2016
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