Individual
GABRIEL JAMES KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 VAN BUREN BLVD STE 100, RIVERSIDE, CA 92503-2098
(951) 358-0255
Mailing address
13623 SARAH ST, YUCAIPA, CA 92399-5227
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012929
CA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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