SearchCalifornia225100000X

Frank Gustafson, RPT

NPI 1689746125 · on the registry since 2006

Practice

Address
45240 Club Drive
Indian Wells, CA 92210
Phone
(760) 200-3322
Fax
(760) 200-3323

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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