Gonzalez, Tamara Elisse

Gonzalez, Tamara Elisse is an sole proprietor health care provider with primary practice located at 8326 Banyan St , Alta Loma CA 91701-2602. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gonzalez, Tamara Elisse can be contacted via phone (909) 732-5936.

Contact Information

Primary practice address
8326 Banyan St Alta Loma CA 91701-2602
Phone: (909) 732-5936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 136056 California

Profile Details

NPI number 1255011367
LBN Legal business name Gonzalez, Tamara Elisse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 2023 - about last year

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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