Individual
ETHEL GUMBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 OAKMONT DR, SAN BRUNO, CA 94066-1241
(650) 583-3496
Mailing address
2700 OAKMONT DR, SAN BRUNO, CA 94066-1241
(650) 583-3496
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
415600425
CA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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