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Vivian Gonzalez
Student in an Organized Health Care Education/Training Program in Montclair, California
NPI 1316426711

Vivian Gonzalez is a Student in an Organized Health Care Education/Training Program based in Montclair, CA. Vivian Gonzalez practices in Montclair, CA. The NPI Number for Vivian Gonzalez is 1316426711 and holds a License No. (California).

The current practice location address for Vivian Gonzalez is 9916 Central Ave, Montclair, CA and can be reached out via phone at 909-450-2502.

Location: 9916 Central Ave, Montclair, CA, 91763-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316426711
Provider Name
Vivian Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
9916 Central Ave, Montclair, CA, 91763-3201
Phone Number
909-450-2502
Fax Number
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 STUDENT
institution
Provider Business Practice Location Address Details
Address
9916 Central Ave
City
Montclair
State
California
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider Business Mailing Address Details
Address
9916 Central Ave
City
Montclair
State
California
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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