Destiney Nichole Gonzales
Destiney Nichole Gonzales is an Other Technician in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
501 W Broadway Ste 800San Diego, CA 92101-3546
Phone: (855) 832-6727
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1699449033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2021 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
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Anthony M France
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Trenea Hawkins
501 W Broadway Ste 800, San Diego, CA 92101-3546 · (845) 489-5855
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