# GABRIEL MOON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659431435
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 000149 | CT | — |
| 171100000X | Acupuncturist | 003150 | NY | — |
| 171100000X | Acupuncturist | AC7117 | CA | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 09/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22936 | ASHP | — |
| 01 | — | AC7117 | LANDMARK | — |