Individual
GABRIEL ERNEST LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 W OWENS AVE, SUITE 6, LAS VEGAS, NV 89106-2452
(831) 588-0268
Mailing address
PO BOX 2560, APTOS, CA 95001-2560
(831) 588-0268
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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