Individual
GONZALO J ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6980 CHURCH ST., GILROY, CA 95020
(408) 776-6201
(408) 778-9672
Mailing address
PO BOX 546, MORGAN HILL, CA 95038-0546
(408) 776-6201
(408) 778-9672
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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