Individual
M GABALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 GINOCCHIO CT, WALNUT CREEK, CA 94598-3613
(925) 989-6669
Mailing address
241 GINOCCHIO CT, WALNUT CREEK, CA 94598-3613
(925) 989-6669
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
44929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
CA
Enumeration date
04/26/2019
Last updated
04/26/2019
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