Individual
GARY THOMAS NOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 IOWA AVE STE B, RIVERSIDE, CA 92507-2105
(951) 358-6691
Mailing address
1020 IOWA AVE STE B, RIVERSIDE, CA 92507-2105
(951) 358-6691
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
01/16/2024
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