Organization
IMPERIAL VALLEY WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE CRYSTAL GOBER MD (CEO/OWNER)
(818) 906-4466
Entity
Organization
Contact information
Practice address
200 E 4TH ST STE C, CALEXICO, CA 92231-2714
(818) 906-4466
Mailing address
200 E 4TH ST STE C, CALEXICO, CA 92231-2714
(818) 906-4466
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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