Individual
MR. EZEQUIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
869 N CHERRY ST, TULARE, CA 93274-2207
(559) 688-0821
Mailing address
3735 E BELMONT AVE, VISALIA, CA 93292-3563
(559) 429-2869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007163
CA
Other
Enumeration date
09/12/2017
Last updated
09/27/2018
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