Individual
JONATHAN ANTHONY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
120 SAN LUCAR CT, SUNNYVALE, CA 94086-5213
(855) 816-7705
Mailing address
3700 KINGWOOD DR APT 1124, KINGWOOD, TX 77339-3722
(832) 318-9160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84048
TX
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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