Individual
MR. GARY BRIAN ACRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1453 16TH ST, ATTN: OPCC-IMHT, SANTA MONICA, CA 90404-2715
(909) 461-7512
Mailing address
1453 16TH ST, ATTN: OPCC-IMHT, SANTA MONICA, CA 90404-2715
(909) 461-7512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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