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Individual

GABREIL SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1412 SW 43RD ST, RENTON, WA 98057-4803
(206) 971-8830
Mailing address
1332 N HIGHLANDS PKWY, TACOMA, WA 98406-2124
(253) 304-2069

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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