SOPHIA EVELYN MIMI GOLDBERG

RICHMOND, CA
NPI1942729074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2017-09-09
Last Update Date2022-07-21
Business Address
SOPHIA EVELYN MIMI GOLDBERG
4101 MACDONALD AVE
RICHMOND, CA 94805-2333
Phone number: 510-412-9200
Mailing Address
SOPHIA EVELYN MIMI GOLDBERG
4101 MACDONALD AVE
RICHMOND, CA 94805-2333
Phone number: 510-412-9200