Individual
GABRIEL ALEJANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(619) 888-2798
Mailing address
8245 E ADOBE RIDGE RD, YUMA, AZ 85365-9053
(619) 888-2798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304129
TX
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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