Individual
DAVID JR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24330 EL TORO RD, LAGUNA WOODS, CA 92637-2775
(949) 830-0391
(949) 830-1141
Mailing address
13151 JAMBOREE RD, TUSTIN, CA 92782-9150
(714) 573-0908
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
130325
CA
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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