Individual
ASMEROM GEBRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1794 PICKET FENCE DR, CHULA VISTA, CA 91915-1859
(619) 948-7683
(619) 934-8078
Mailing address
1794 PICKET FENCE DR, CHULA VISTA, CA 91915-1859
(619) 948-7683
(619) 934-8078
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6XML529
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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