Gary Lee Allen Valid NPI
Individual provider · Psychiatric/Mental Health Registered Nurse · Rialto, CA
- NPI
- 1831674175
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WP0808X
- License number
- 762955 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-10-02
- Last updated
- 2018-10-02
Practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
(909) 421-9495