Individual
CASSANDRA MARIA GURJAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PETALUMA BLVD S, PETALUMA, CA 94952-5545
(707) 765-8488
Mailing address
1500 PETALUMA BLVD S, PETALUMA, CA 94952-5545
(707) 765-8488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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