Individual
IREBID GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 331-7396
Mailing address
3534 SATINWOOD RD, SANTA MARIA, CA 93455-6217
(805) 363-0700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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