Individual
MR. GABRIEL RUVALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1076 SANTO ANTONIO DR, COLTON, CA 92324-8103
(909) 433-9824
Mailing address
1076 SANTO ANTONIO DR, COLTON, CA 92324-8103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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