Congo, Gustavo Marcelo

Congo, Gustavo Marcelo is an sole proprietor health care provider with primary practice located at 1970 Furlow Dr , Redlands CA 92374-1646. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Congo, Gustavo Marcelo can be contacted via phone (909) 329-4264.

Contact Information

Primary practice address
1970 Furlow Dr Redlands CA 92374-1646
Phone: (909) 329-4264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4334 California

Profile Details

NPI number 1316702210
LBN Legal business name Congo, Gustavo Marcelo
Credentials PPS, LEP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2024
Last updated Feb 19th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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