Individual
MR. FRED DANIEL GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 3RD AVE, SUITE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
(619) 426-2359
Mailing address
1180 3RD AVE, SUITE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
(619) 426-2359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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