Individual
SIMON GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6228 E VISTA ST, LONG BEACH, CA 90803-2201
(650) 872-9979
Mailing address
6228 E VISTA ST, LONG BEACH, CA 90803-2201
(650) 872-9979
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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