Individual
MS. DIANE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRS
Contact information
Practice address
11151 SUN CENTER DR STE C, RANCHO CORDOVA, CA 95670-6194
(916) 273-3389
Mailing address
2836 AQUINO DR, SACRAMENTO, CA 95833-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
11/07/2018
Last updated
10/21/2020
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