Carissa Lee Gonzalez
NPI #1659866473 in Venice, California
Provider Information
- NPI Number
- 1659866473
- Entity Type
- Individual
- Name
- Carissa Lee Gonzalez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Jun 25, 2018
Practice Location
- Address
- 119 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2807
- Phone
- (310) 392-3983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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