Most Relevant Information
Provider Data
| NPI Number: | 1003063272 |
| Provider Name: | GUADALUPE GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2008 |
| Last Updated: | 01/23/2012 |
Provider Practice Location
5005 TEXAS ST STE 203
SAN DIEGO
CA
921083723
Practice Location Phone/Fax
| Phone: | 6196920727 |
| Fax: |
Provider Mailing Location
5005 TEXAS ST STE 203
SAN DIEGO
CA
921083723
Provider Mailing Phone/Fax
| Phone: | 6196910431 |
| Fax: |