JASMINE MIREYA GONGORA

INDIO, CA
NPI1093590093
Former NameJASMINE RICHARDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT305678)
Enumeration Date2023-08-28
Last Update Date2024-03-25
Business Address
JASMINE MIREYA GONGORA DPT
81557 DR CARREON BLVD STE C4
INDIO, CA 92201-5562
Phone number: 760-347-6195
Mailing Address
JASMINE MIREYA GONGORA DPT
408 HIGUERA ST STE 200
SAN LUIS OBISPO, CA 93401-6135
Phone number: 805-788-0805
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