Individual
ANTHONY ALEXANDER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 IOWA AVE STE 101, RIVERSIDE, CA 92507-7428
(951) 384-4699
Mailing address
2020 IOWA AVE STE 101, RIVERSIDE, CA 92507-7428
(951) 384-4699
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695124
CA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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