Individual
BRYAN GAVILANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7055 ALABAMA AVE APT 5, CANOGA PARK, CA 91303-2027
(818) 217-9628
Mailing address
7055 ALABAMA AVE APT 5, CANOGA PARK, CA 91303-2027
(818) 217-9628
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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