Most Relevant Information
Provider Data
| NPI Number: | 1003570748 |
| Provider Name: | ELOHIM X GONZALEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95243051 |
Most Important Dates
| Enumeration Date: | 10/28/2021 |
| Last Updated: | 10/28/2021 |
Provider Practice Location
21507 E CLIFF DR
SANTA CRUZ
CA
950624844
Practice Location Phone/Fax
| Phone: | 8314273500 |
| Fax: |
Provider Mailing Location
21507 E CLIFF DR
SANTA CRUZ
CA
950624844
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |