Individual
GLORIA JOYCE BRON SUSBILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 ELM ST, ROSEVILLE, CA 95678-2508
(916) 770-5378
Mailing address
256 ELM ST, ROSEVILLE, CA 95678-2508
(916) 770-5378
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
315002960
CA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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