Individual
ANTHONY GUADALUPE GONZALEZ VERDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(833) 574-2273
Mailing address
6489 WELLS SPRINGS ST, EASTVALE, CA 91752-4394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2022
Last updated
11/21/2022
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