Provider Information for 1912037474
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Miss MARIA ESPERANZA GONZALEZ MA, MFT Intern
Sex: Female
NPI: 1912037474
Last Updated: 2012-03-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1912037474 | ||||||||||||
| Enumeration Date | 2007-03-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 328 E 116TH ST LOS ANGELES, CA 90061-2914 United States Phone: 562-286-4514 | Fax: | ||||||||||||
| Primary Practice Address | 1303 W WALNUT PKWY COMPTON, CA 90220-5030 United States Phone: 310-868-5379 | Fax: | ||||||||||||
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