JOHN OMAR GONZALEZ

SAN JOSE, CA
NPI1174397699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
JOHN OMAR GONZALEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
Mailing Address
JOHN OMAR GONZALEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113