Individual
SANDRA GOMEZ CELEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 781-3535
Mailing address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 519-9896
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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