Individual
ZACK GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3730
(818) 901-6600
Mailing address
6815 NOBLE AVE, VAN NUYS, CA 91405-3730
(818) 901-6600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029389
CA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
About Stedi
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