Individual
ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
691 S 2ND ST, SAN JOSE, CA 95112-5808
(408) 295-0233
Mailing address
691 S 2ND ST, SAN JOSE, CA 95112-5808
(408) 295-0233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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