Most Relevant Information
Provider Data
| NPI Number: | 1003421314 |
| Provider Name: | ESPERANZA GONZALES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 9963 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
541 S HAM LN STE A&B
LODI
CA
952423530
Practice Location Phone/Fax
| Phone: | 2092248940 |
| Fax: |
Provider Mailing Location
541 S HAM LN STE A&B
LODI
CA
952423530
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |