Nino Mallillin Gavilan
NPI #1053146951 in San Mateo, California
Provider Information
- NPI Number
- 1053146951
- Entity Type
- Individual
- Name
- Nino Mallillin Gavilan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 3701 HACIENDA ST
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-4366
- Phone
- (650) 727-7992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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