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Individual

ABRAHAM ISACC GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
255 W 17TH ST, SAN BERNARDINO, CA 92405
(951) 488-8649
Mailing address
255 W 17TH ST, SAN BERNARDINO, CA 92405-4618
(951) 488-8649

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
825669
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000872
CA

Other

Enumeration date
09/20/2017
Last updated
07/21/2022
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