Individual
JAMES GABRIEL GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-6111
Mailing address
1024 WINTER ST, KINGSBURG, CA 93631-1034
(559) 419-3334
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ID
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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