Individual
EDWARD D GAVIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10089 WILLOW CREEK RD STE 200, SAN DIEGO, CA 92131-1699
(858) 722-9036
Mailing address
10089 WILLOW CREEK RD STE 200, SAN DIEGO, CA 92131-1699
(858) 722-9036
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPA0002388
CA
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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