Individual
ISABEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W LODI AVE, LODI, CA 95240-3425
(209) 368-5363
(209) 368-2702
Mailing address
520 W LODI AVE, LODI, CA 95240-3425
(209) 368-5363
(209) 368-2702
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
52928
CA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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