GARY LEWIS BRAVO

SANTA ROSA, CA
NPI1669536009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  G53626)
Enumeration Date2006-12-20
Last Update Date2014-06-20
Business Address
-- GARY LEWIS BRAVO
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4997
Mailing Address
-- GARY LEWIS BRAVO
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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