Individual
ELIAS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 N LINCOLN ST, SANTA MARIA, CA 93458-2132
(805) 268-7375
Mailing address
330 N MALLAGH ST, NIPOMO, CA 93444-9745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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