Individual
ANTHONY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
9700 BRIMHALL RD, BAKERSFIELD, CA 93312-2777
(661) 631-2020
Mailing address
621 S. SANTA CLARA STREET, TULARE, CA 93274
(661) 778-4117
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL 6268
CA
Other
Enumeration date
05/14/2012
Last updated
09/17/2012
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