Individual
GABRIEL LOCKSHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 I ST, DAVIS, CA 95616-4213
(530) 601-5959
(916) 504-4342
Mailing address
212 I ST, DAVIS, CA 95616-4213
(530) 601-5959
(916) 504-4342
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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