MR. Gabriel C Renville

NPI #1982102240 in Aberdeen, Washington

Provider Information

NPI Number: 1982102240
Entity Type: Individual
Name: MR. Gabriel C Renville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 403 W STATE ST STE 206
City: Aberdeen
State: Washington
ZIP Code: 98520-6140
Phone: (360) 612-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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