Individual
CARLOS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 S 10TH ST, FRESNO, CA 93702-3506
(559) 600-6040
(559) 600-1200
Mailing address
890 S 10TH ST, FRESNO, CA 93702-3506
(559) 600-6040
(559) 600-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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