Individual
GABRIEL PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14850 CENTRAL AVE, CHINO, CA 91710-9509
(909) 597-0504
Mailing address
1556 GREENS DR, CHINO HILLS, CA 91709-2273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5296
CA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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