Individual
DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 W POINSETT ST, GREER, SC 29650
(864) 879-8886
(864) 879-1204
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22666
SC
Other
Enumeration date
03/16/2019
Last updated
07/26/2019
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