MR. Oscar R Gongora

NPI #1386843860 in Lemon Grove, California

Provider Information

NPI Number: 1386843860
Entity Type: Individual
Name: MR. Oscar R Gongora
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jul 13, 2007
Last Updated: Jul 13, 2007

Practice Location

Address: 3231 BUENA VISTA AVE
Address 2: SUITE # A
City: Lemon Grove
State: California
ZIP Code: 91945-2413
Phone: (619) 698-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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