Most Relevant Information
Provider Data
| NPI Number: | 1003324872 |
| Provider Name: | CARMEN ANN GONZALES |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 62475 |
Most Important Dates
| Enumeration Date: | 01/16/2018 |
| Last Updated: | 01/16/2018 |
Provider Practice Location
1025 S ANAHEIM BLVD
ANAHEIM
CA
928055806
Practice Location Phone/Fax
| Phone: | 7145336220 |
| Fax: |
Provider Mailing Location
626 N PACIFIC AVE
GLENDALE
CA
912031618
Provider Mailing Phone/Fax
| Phone: | 6265904186 |
| Fax: |