GONZALO CHACON LOPEZ

CULVER CITY, CA
NPI1932889953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95233009)
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
GONZALO CHACON LOPEZ
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
Mailing Address
GONZALO CHACON LOPEZ
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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