Individual
MR. ERNESTO ANGEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 W MARCH LN, STOCKTON, CA 95207-6414
(209) 684-6642
Mailing address
1627 W SWAIN RD, STOCKTON, CA 95207-4157
(209) 684-6642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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