Individual
GABRIELA GOMES COSTARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1011 N BEGONIA AVE, ONTARIO, CA 91762-2104
(800) 683-2945
Mailing address
488 W DUARTE RD APT 7, ARCADIA, CA 91007-6839
(818) 913-5874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94022736
CA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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