MARY ELLEN GUSAKOVA

ROCKLIN, CA
NPI1497455455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  9804)
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
MARY ELLEN GUSAKOVA
6508 LONETREE BLVD STE 104
ROCKLIN, CA 95765-5885
Phone number: 916-287-1914
Mailing Address
MARY ELLEN GUSAKOVA
6508 LONETREE BLVD STE 104
ROCKLIN, CA 95765-5885
Phone number: 916-287-1914