Individual
GABRIEL RAY WIRTZ FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11550 INDIAN HILLS RD STE 261, MISSION HILLS, CA 91345-1244
(818) 847-6570
(310) 582-7495
Mailing address
3039 MINERAL WELLS CT, SIMI VALLEY, CA 93063-1823
(805) 416-4028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61070
CA
Other
Enumeration date
03/22/2022
Last updated
01/25/2024
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