Individual
MS. DORAL RENEE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
930 SUNSET DR, BUILDING # 3, HOLLISTER, CA 95023-5780
(831) 636-2664
(831) 636-2641
Mailing address
1709 VIA MILANO, GUSTINE, CA 95322-9682
(408) 348-1894
(209) 854-6805
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN 348323
CA
363LF0000X
Family Nurse Practitioner
Primary
NP 13815
CA
363LP1700X
Perinatal Nurse Practitioner
NM 1248
CA
Other
Enumeration date
07/10/2006
Last updated
03/30/2008
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