Individual
GABRIEL GAVALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA,AS
Contact information
Practice address
3514 N FOWLER AVE, SILVER CITY, NM 88061-7210
(575) 388-3127
Mailing address
3514 N FOWLER AVE, SILVER CITY, NM 88061-7210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NM
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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