OMAR ALFONSO GONZALEZ

NORTH CHARLESTON, SC
NPI1649094723
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  29561)
Enumeration Date2024-11-14
Last Update Date2024-11-14
Business Address
OMAR ALFONSO GONZALEZ
4105 FABER PLACE DR STE 120
NORTH CHARLESTON, SC 29405-8594
Phone number: 888-562-5442
Mailing Address
OMAR ALFONSO GONZALEZ
200 OCEANGATE STE 100
LONG BEACH, CA 90802-4317
Phone number: 888-562-5442
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