Gonzales, Victoria
Gonzales, Victoria is an sole proprietor health care provider with primary practice located at 3924 W Maricopa St , Phoenix AZ 85009-5410. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Gonzales, Victoria can be contacted via phone (602) 301-1564.Contact Information
Primary practice address
3924 W Maricopa St
Phoenix AZ 85009-5410
Phone: (602) 301-1564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 8896 | Arizona |
Profile Details
| NPI number | 1316578198 |
|---|---|
| LBN Legal business name | Gonzales, Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Jan 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316578198 | NPPES |
| Arizona | Other | 8896 | AZ DEPT OF HEALTH SERVICES |
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