KEANU GONZALES

NEWPORT BEACH, CA
NPI1083589154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-10-08
Last Update Date2025-10-08
Business Address
KEANU GONZALES
1151 DOVE ST
NEWPORT BEACH, CA 92660-2840
Phone number: 909-248-3315
Mailing Address
KEANU GONZALES
1151 DOVE ST
NEWPORT BEACH, CA 92660-2840
Phone number:
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