Romeo Gonzales Buison Valid NPI
Individual provider · Pharmacist · Fort Bragg, CA
- NPI
- 1477712727
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH44829 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-06-03
- Last updated
- 2008-06-03
Practice location
490 S Main St
Fort Bragg, CA 95437-4806
(707) 694-1845