Gonsalves, Virginia Mary Lee
Gonsalves, Virginia Mary Lee is an sole proprietor health care provider with primary practice located at 4990 Williams Ave , La Mesa CA 91942. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gonsalves, Virginia Mary Lee can be contacted via phone (619) 668-4200.Contact Information
Primary practice address
4990 Williams Ave
La Mesa CA 91942
Phone: (619) 668-4200
Fax: (619) 698-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1811257066 |
|---|---|
| LBN Legal business name | Gonsalves, Virginia Mary Lee |
| Credentials | CAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2012 |
| Last updated | May 22nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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