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Individual

RODOLFO GATBONTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
857 S PAGOSSA WAY, ANAHEIM, CA 92808-2362
(714) 390-8580
Mailing address
857 S PAGOSSA WAY, ANAHEIM, CA 92808-2362
(714) 390-8580

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165254
CA

Other

Enumeration date
08/13/2022
Last updated
03/01/2023
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