OSCAR ANTONIO GONZALEZ

GROTON, CT
NPI1063819068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
-- OSCAR ANTONIO GONZALEZ
34 PLUM LN
GROTON, CT 06340-2928
Phone number: 619-922-1715
Mailing Address
-- OSCAR ANTONIO GONZALEZ
34 PLUM LN
GROTON, CT 06340-2928
Phone number: