Individual
BRENDA SUSANA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6385
Mailing address
423 N I ST APT C, LOMPOC, CA 93436-0951
(805) 588-2005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/05/2023
Last updated
04/01/2024
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