GUSTAVO REVELES

NORTHRIDGE, CA
NPI1437886751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  111190)
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2022-08-05
Last Update Date2022-10-27
Business Address
Mr. GUSTAVO REVELES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
Mailing Address
Mr. GUSTAVO REVELES
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311