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NPI Code Detail

MEDICARE: MRS. MARIBEL GUNNER

MEDICARE: MRS. MARIBEL GUNNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1144598673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIBEL GUNNER
Provider Business Mailing Address
First Line : 3350 SHELBY ST STE 230
Second Line :
City : ONTARIO
State : CA
Zip : 91764-4883
Country : US
Telephone Number : 909-284-7300
Fax Number :
Provider Business Practice Location Address
First Line : 3350 SHELBY ST STE 230
Second Line :
City : ONTARIO
State : CA
Zip : 91764-4883
Country : US
Telephone Number : 909-284-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2011
Last Update Date : 10/23/2024

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Directions to “ MRS. MARIBEL GUNNER ” Practice Location

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