Individual
DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3787 BROADWAY, SAN DIEGO, CA 92102-3450
(559) 341-0690
Mailing address
884 E PORTSMOUTH DR, FRESNO, CA 93730-0612
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
95044510
CA
363LF0000X
Family Nurse Practitioner
Primary
NPF95024843
CA
Other
Enumeration date
07/18/2022
Last updated
08/01/2023
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