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JOSEPHINE JUMANGIT GABRILLO NURSE PRACTITIONER
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1356864540
Individual Registrant: JOSEPHINE JUMANGIT GABRILLO NURSE PRACTITIONER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1305 BEAR MOUNTAIN BLVD ARVIN, CA 93203-1231 US
Tel: 661-854-3131 Fax: 661-854-2689
Tel: 661-854-3131 Fax: 661-854-2689
Contact information for business:
1305 BEAR MOUNTAIN BLVD ARVIN, CA 93203-1231 US
Tel: 661-854-3131 Fax: 661-854-2689
Tel: 661-854-3131 Fax: 661-854-2689
Registration Information:
NPI: 1356864540
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95006884 |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95006884 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
