MARY ELLEN GUSAKOVA

ROSEVILLE, CA
NPI1497455455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  9804)
Enumeration Date2023-03-08
Last Update Date2026-08-26
Business Address
MARY ELLEN GUSAKOVA
730 SUNRISE AVE STE 130
ROSEVILLE, CA 95661-4549
Phone number: 916-436-8687
Mailing Address
MARY ELLEN GUSAKOVA
730 SUNRISE AVE STE 130
ROSEVILLE, CA 95661-4549
Phone number: 916-436-8687