Individual
GABRIEL ENZY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 SUNNYRIDGE RD APT 2, PEWAUKEE, WI 53072-3893
(262) 744-5789
Mailing address
1302 SUNNYRIDGE RD APT 2, PEWAUKEE, WI 53072-3893
(262) 744-5789
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
WI035621801698
WI
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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