Individual
SHERRY GONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 C ST, SUITE 212, SAN DIEGO, CA 92101-5100
(619) 238-4180
Mailing address
118 N SCRIVENER ST, LAKE ELSINORE, CA 92530-3426
(213) 436-9405
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
704915
CA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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