Search › California › 103TS0200X
Gustavo Congo, PPS, LEP
NPI 1316702210 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1970 Furlow Dr
Redlands, CA 92374 - Phone
- (909) 329-4264
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California