Individual
GABRIEL MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 N WATERMAN AVE, STE 119, SAN BERNARDINO, CA 92404
(909) 889-8967
(909) 889-8967
Mailing address
1455 N WATERMAN AVE, STE 119, SAN BERNARDINO, CA 92404
(909) 889-8967
(909) 889-8967
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000149
CT
171100000X
Acupuncturist
003150
NY
171100000X
Acupuncturist
Primary
AC7117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22936
ASHP
—
01
—
AC7117
LANDMARK
—
Enumeration date
12/11/2006
Last updated
09/18/2007
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