GIOVANNI GONZALEZ

LACEY, WA
NPI1952982548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WA  754926)
Enumeration Date2021-04-15
Last Update Date2021-04-15
Business Address
GIOVANNI GONZALEZ CNA
3823 ROSSBERG ST SE
LACEY, WA 98503-3590
Phone number: 253-304-6202
Mailing Address
GIOVANNI GONZALEZ CNA
3823 ROSSBERG ST SE
LACEY, WA 98503-3590
Phone number: 253-304-6202
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