Individual
ALFONSO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1341 N ESCONDIDO BLVD, ESCONDIDO, CA 92026-2507
(760) 747-1015
Mailing address
61003 LUCERNE DR, MOUNTAIN CENTER, CA 92561-3665
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
268940
CA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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