Individual
LINDY GUNAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 925-6389
Mailing address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A81018
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
03/20/2024
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