Individual
CHIMERE SONJE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 358-9169
Mailing address
694 N ROSALIND AVE, RIALTO, CA 92376-5338
(909) 358-9169
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33157
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/30/2024
Last updated
04/08/2025
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