NPI 1023471091

Artist Gilbert

Practitioner Driver Rialto, CA

Practice location

Address: 1490 N Marcella Ave, Rialto, CA 92376-3678
Phone: (951) 875-2647
Fax: (909) 421-1222

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence F0891469 (CA)

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Registry record

NPI: 1023471091
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2016
Record last updated: 29 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.