GOURDET GASPARD

Licensed Psychiatric Technician

Active Individual
NPI: 1114198934

Practice Address

400 N PEPPER AVE
Colton, CA 92324

Phone: (909) 580-1800

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 27279 (CA)

Frequently Asked Questions

NPI 1114198934 is the National Provider Identifier for GOURDET GASPARD, a Licensed Psychiatric Technician provider located in Colton, CA. This NPI was enumerated on March 19, 2008.
GOURDET GASPARD practices at 400 N PEPPER AVE, Colton, CA 92324.

Quick Facts

NPI
1114198934
Type
Individual
Enumerated
Mar 19, 2008
Last Updated
Mar 20, 2008

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