MR. Gladwyne Suello Bales
NPI #1740518711 in Lincoln, California
Provider Information
- NPI Number
- 1740518711
- Entity Type
- Individual
- Name
- MR. Gladwyne Suello Bales
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 2, 2009
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 1324 RENISON LN
- City
- Lincoln
- State
- California
- ZIP Code
- 95648-3219
- Phone
- (916) 832-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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