Individual
DAWN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 W 6TH ST # 14, SAN BERNARDINO, CA 92401-1128
(980) 200-3092
Mailing address
363 W 6TH ST # 14, SAN BERNARDINO, CA 92401-1128
(980) 200-3092
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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