Gurrola, Mary

Gurrola, Mary is an sole proprietor health care provider with primary practice located at 1094 S E St , San Bernardino CA 92415-5230. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gurrola, Mary can be contacted via phone (909) 388-1905.

Contact Information

Primary practice address
1094 S E St San Bernardino CA 92415-5230
Phone: (909) 388-1905
Fax: (909) 381-1062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X G0407170935 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6029 California

Profile Details

NPI number 1124168455
LBN Legal business name Gurrola, Mary
Credentials CADTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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