Individual
ROBERTO ANTONIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15354 LA SUBIDA DR, HACIENDA HEIGHTS, CA 91745-4426
(626) 210-5272
Mailing address
15354 LA SUBIDA DR, HACIENDA HEIGHTS, CA 91745-4426
(626) 210-5272
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH201260
CA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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