Most Relevant Information
Provider Data
| NPI Number: | 1003351735 |
| Provider Name: | GABRIELA GOROSTIETA REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 846884 |
Most Important Dates
| Enumeration Date: | 01/04/2017 |
| Last Updated: | 01/04/2017 |
Provider Practice Location
1845 N FAIR OAKS AVE
CHDP
PASADENA
CA
911031620
Practice Location Phone/Fax
| Phone: | 8182399530 |
| Fax: |
Provider Mailing Location
1845 N FAIR OAKS AVE
CHDP
PASADENA
CA
911031620
Provider Mailing Phone/Fax
| Phone: | 8182399530 |
| Fax: |