Individual
ANGELICA GUADALUPE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W VENTURA BLVD, CAMARILLO, CA 93010-9137
(858) 236-5858
Mailing address
45560 SANCROFT AVE, LANCASTER, CA 93535-2004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51099
CA
Other
Enumeration date
07/18/2019
Last updated
09/07/2021
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