Gonzales, Gersam

Gonzales, Gersam is an individual health care provider with primary practice located at 1517 Knickerbocker Dr , Stockton CA 95210-3119. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gonzales, Gersam can be contacted via phone (209) 957-4539.

Contact Information

Primary practice address
1517 Knickerbocker Dr Stockton CA 95210-3119
Fax:
Website:

Profile Details

NPI number 1528229820
LBN Legal business name Gonzales, Gersam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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