Individual
ERICA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
2543 EVELYN CT E, TRACY, CA 95377-0201
(408) 204-9071
Mailing address
2543 EVELYN CT E, TRACY, CA 95377-0201
(408) 204-9071
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
629
CA
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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