Mary Eppie Porciuncula Gonzales
ActiveCalifornia license A90912
License
- Licensed by
- Medical Board of California
- License number
- A90912
- Status
- Active (Current)
- First issued
- April 15, 2005
- Expires
- November 30, 2028
- License holder
- Mary Eppie Porciuncula Gonzales
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Divine Grace Medical Clinic
17150 Norwalk Blvd
Cerritos, CA 90703
17150 Norwalk Blvd
Cerritos, CA 90703
Los Angeles County