Breanna Gonzales

NPI #1992362180 in Northridge, California

Provider Information

NPI Number: 1992362180
Entity Type: Individual
Name: Breanna Gonzales
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 22, 2019
Last Updated: May 22, 2019

Practice Location

Address: 18111 NORDHOFF ST
City: Northridge
State: California
ZIP Code: 91330-0001
Phone: (818) 677-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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