Individual
ZENAIDA LUCAS GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
1504 N ELDORADO AVE, KLAMATH FALLS, OR 97601-1815
(541) 882-6311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10016329
OR
Other
Enumeration date
03/25/2021
Last updated
10/25/2023
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