SAMUEL GONZALEZ

SAN DIEGO, CA
NPI1083492391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
SAMUEL GONZALEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 915-330-7612
Mailing Address
SAMUEL GONZALEZ IDC
11415 OAK CREEK DR
LAKESIDE, CA 92040-1236
Phone number:
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