Individual
JAMES BENEDICT GOMZALES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1850 GATEWAY BLVD, CONCORD, CA 94520-3279
(310) 890-4997
Mailing address
578 WASHINGTON BLVD # 456, MARINA DEL REY, CA 90292-5442
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN286050
CA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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