Individual
GABRIEL INCLETO BASCARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
365 TUOLUMNE ST, VALLEJO, CA 94590-5700
(707) 553-5509
Mailing address
140 DOLPHIN CT, VALLEJO, CA 94589-3324
(707) 319-6368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
08/07/2025
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