Individual
GABRIELA MARIA CHICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5907
Mailing address
22252 N 5TH ST, CASTRO VALLEY, CA 94546-7004
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009710
CA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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