JAY LOPEZ GOZUM

SAN DIEGO, CA
NPI1841538469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  F0411057)
Enumeration Date2013-01-17
Last Update Date2013-01-17
Business Address
Mr. JAY LOPEZ GOZUM NP
3202 DUKE ST
SAN DIEGO, CA 92110-5401
Phone number: 619-302-3893
Mailing Address
Mr. JAY LOPEZ GOZUM NP
1410 MARBLE CANYON WAY
CHULA VISTA, CA 91915-1646
Phone number: 619-302-3893
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