Individual
KEVIN GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W AMERICAN CANYON RD STE M10, AMERICAN CANYON, CA 94503-1181
(707) 649-4061
Mailing address
9268 HALLMARK PL, VALLEJO, CA 94591-8597
(707) 649-4061
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
517046
CA
Other
Enumeration date
09/28/2018
Last updated
04/14/2020
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