Gabrielle Suarez, MS, CNIM
Specialist/Technologist, Other, Electroneurodiagnostic in San Diego, CA. Individual provider (NPI-1).
NPI number1164092409
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092409
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Suarez
- Credential
- MS, CNIM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
3455 Kearny Villa Rd Apt 224San Diego, CA 92123-1977
Phone 209-879-3612
Mailing address
3455 Kearny Villa Rd Apt 224San Diego, CA 92123-1977
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