| Imperial Valley Wound Care Inc | |
|
200 E 4th St Ste C Calexico CA 92231-2714 | |
| (818) 906-4466 | |
| Not Available |
| Full Name | Imperial Valley Wound Care Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 200 E 4th St Ste C, Calexico, California |
| Authorized Official Name and Position | Brianne Crystal Gober (CEO/OWNER) |
| Authorized Official Contact | 8189064466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Wound Care Inc 200 E 4th St Ste C Calexico CA 92231-2714 Ph: (818) 906-4466 | Imperial Valley Wound Care Inc 200 E 4th St Ste C Calexico CA 92231-2714 Ph: (818) 906-4466 |
| NPI Number | 1174339949 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174339949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (NU) | Primary |
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