Individual
NICOLE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8712 MARSHALL ST, ROSEMEAD, CA 91770-1816
(626) 378-6927
Mailing address
3136 DEL MAR AVE, ROSEMEAD, CA 91770-2326
(626) 288-8353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3241
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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