Individual
ALEX GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 BAIRD ST., RESEDA, CA 91335
(818) 342-5897
(818) 342-6531
Mailing address
700 S LAKE ST APT 302, BURBANK, CA 91502-2452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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