Provider Demographics
NPI:1114653425
Name:APPOH, GABRIEL GODWILL (RN)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:GODWILL
Last Name:APPOH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1116
Mailing Address - Street 2:
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-1116
Mailing Address - Country:US
Mailing Address - Phone:951-581-0267
Mailing Address - Fax:
Practice Address - Street 1:1596 MEADOW ST
Practice Address - Street 2:
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210-3259
Practice Address - Country:US
Practice Address - Phone:951-581-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95051433163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health