Diana Gonzalez
Technician, Other in Anaheim, CA. Individual provider (NPI-1).
NPI number1982160818
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1982160818
- Entity type
- Individual (NPI-1)
- Name
- Diana Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2019
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2400 E Katella Ave Ste 800Anaheim, CA 92806-5955
Phone 714-696-2862
Mailing address
2400 E Katella Ave Ste 800Anaheim, CA 92806-5955
Phone 714-696-2862
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