Rene Gamboa's National Provider Identifier (NPI) Details
Rene Gamboa, L.M.H.C., B.C.P.C.
NPI: 1508035296
Enumeration Date: 2008-02-27
Last updated: 2008-02-27
Sole Proprietor: YES
Status: active
Postal Address: 27321 SW 140TH CT, HOMESTEAD, FL
Phone: 786-586-8215
Primary Practice Address: 27321 SW 140TH CT, HOMESTEAD, FL
Practice's phone: 786-586-8215