JOSE GONZALEZ

SAN DIEGO, CA
NPI1902300254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
JOSE GONZALEZ
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 817-718-2992
Mailing Address
JOSE GONZALEZ
1252 PERSHING RD
CHULA VISTA, CA 91913-2514
Phone number: 817-718-2992