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
Health care specialties
| Specialty | Code | License # | 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 last year |
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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