Individual
GABRIEL REY FAMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
675 E BRADLEY AVE, EL CAJON, CA 92021-3110
(619) 448-6633
(619) 448-5462
Mailing address
2417 PASEO LOS GATOS, CHULA VISTA, CA 91914-4431
(619) 947-4917
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
730843
CA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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