Individual
GABRIEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RASI
Contact information
Practice address
265 WATER ST, SANTA CRUZ, CA 95060-4009
(831) 425-1633
Mailing address
265 WATER ST, SANTA CRUZ, CA 95060-4009
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
4400201120
CA
Other
Enumeration date
05/08/2014
Last updated
08/26/2015
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