Individual
GLORIA STEPHANIE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 S STATE ST STE A, SAN JACINTO, CA 92583-4922
(951) 791-3330
Mailing address
1370 S STATE ST STE A, SAN JACINTO, CA 92583-4922
(951) 791-3330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111546
CA
Other
Enumeration date
06/06/2018
Last updated
12/12/2024
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