Individual
DENISE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 W MERCED AVE, WEST COVINA, CA 91790-4016
(626) 483-3093
Mailing address
427 N HEATHDALE AVE, COVINA, CA 91722-3718
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
129873
CA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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