Most Relevant Information
Provider Data
| NPI Number: | 1003555681 |
| Provider Name: | GABRIELLE MINEHAN CCP |
| Entity Type: | Individual |
| Taxonomy Code: | 242T00000X |
| Specialty: | Perfusionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2022 |
| Last Updated: | 06/01/2022 |
Provider Practice Location
751 S BASCOM AVE
SAN JOSE
CA
951282699
Practice Location Phone/Fax
| Phone: | 4088855000 |
| Fax: |
Provider Mailing Location
8515 SAN FRANCISCO RD NE
ALBUQUERQUE
NM
871095003
Provider Mailing Phone/Fax
| Phone: | 5705165479 |
| Fax: |