Individual
CHRISTIAN URIEL GOMEZ SOBERANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 W 11TH ST, SAN BERNARDINO, CA 92410-3513
(909) 506-1247
Mailing address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 884-0840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1563610624
CA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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