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Patrick Jordan Gonzales, NP

Nurse Practitioner, Psych/Mental Health in Chino, CA. Individual provider (NPI-1).

NPI number1639775166
StatusActive
Last updated in NPPESDec 9, 2020

Details

NPI
1639775166
Entity type
Individual (NPI-1)
Name
Mr. Patrick Jordan Gonzales
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 9, 2020
Certification date
Dec 9, 2020
Last updated
Dec 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health95015671CAYes

Practice location

8759 Celebration St
Chino, CA 91708-8876

Phone 909-217-8166

Mailing address

8759 Celebration St
Chino, CA 91708-8876

Phone 909-217-8166

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Other Psychiatric/Mental Health Nurse Practitioner providers in Chino, CA

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