Individual
BRENDA GASTELUM ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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