EDGAR GONZALES

NORTHRIDGE, CA
NPI1124568142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-02-24
Last Update Date2017-06-15
Business Address
Mr. EDGAR GONZALES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
Mailing Address
Mr. EDGAR GONZALES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: