Individual provider · Type 1 NPI

Gabriel Enzy Robinson

Meals Provider · Pewaukee, WI

NPI number 1356047476 Active

Practice location

1302 Sunnyridge Rd Apt 2
Pewaukee, WI 53072-3893

Specialties and licenses

TaxonomyCodeLicense
Meals Provider Primary 174200000XWI035621801698 (WI)

Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

About NPI 1356047476

Gabriel Enzy Robinson's National Provider Identifier is 1356047476, issued on Jan 31, 2023. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Pewaukee, WI. The record was last updated on Jan 31, 2023.