Individual
JEANNIE GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(415) 279-3802
Mailing address
1380 HOWARD STREET, SUITE 1000, SAN FRANCISCO, CA 94103
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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