Individual
AMANDA NICOLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 E PLAZA BLVD STE B-E, NATIONAL CITY, CA 91950-5164
(619) 474-5916
Mailing address
4560 MISSION GORGE PL APT 565, SAN DIEGO, CA 92120-4191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25893
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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