Stacy Gonzales, CPE

NPI #1235550005 in Rocklin, California

Provider Information

NPI Number: 1235550005
Entity Type: Individual
Name: Stacy Gonzales, CPE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CPE
Enumeration Date: Dec 22, 2013
Last Updated: Dec 22, 2013

Practice Location

Address: 6711 FIVE STAR BLVD
Address 2: SUITE D
City: Rocklin
State: California
ZIP Code: 95677-2678
Phone: (916) 315-9422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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