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Dennis Gonzalez

Rehabilitation Practitioner in Stockton, CA. Individual provider (NPI-1).

NPI number1609401488
StatusActive
Last updated in NPPESAug 6, 2026

Details

NPI
1609401488
Entity type
Individual (NPI-1)
Name
Dennis Gonzalez
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2020
Certification date
Aug 6, 2026
Last updated
Aug 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator–CA
172V00000X Community Health Worker––

Practice location

430 N Pilgrim St
Stockton, CA 95205-4428

Phone 209-466-0853

Mailing address

430 N Pilgrim St
Stockton, CA 95205-4428

Phone 209-466-0853

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Other Rehabilitation Practitioner providers in Stockton, CA

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