Individual
MS. GABRIELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15982 QUANTICO RD STE A, APPLE VALLEY, CA 92307-1382
(760) 242-9577
Mailing address
644 FIREPIT DR, DIAMOND BAR, CA 91765-1009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
12/06/2021
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