Individual
RAUL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1417 W LINGAN LN APT 2, SANTA ANA, CA 92704-3455
(714) 586-2362
Mailing address
1417 W LINGAN LN APT 2, SANTA ANA, CA 92704-3455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039687
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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