Individual
GILBERT ROGACION BRAULIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHN, RN
Contact information
Practice address
12473 HEATHERTON CT APT 329, SAN DIEGO, CA 92128-5190
(619) 341-9803
Mailing address
12473 HEATHERTON CT APT 329, SAN DIEGO, CA 92128-5190
(619) 341-9803
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
561782
CA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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