Provider Demographics
NPI:1356639462
Name:BURKE-ARMIJO, GABRIELA (BS)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:BURKE-ARMIJO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 VALLEY RIM RD
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-1219
Mailing Address - Country:US
Mailing Address - Phone:619-906-4621
Mailing Address - Fax:619-234-8884
Practice Address - Street 1:1845 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-2111
Practice Address - Country:US
Practice Address - Phone:619-906-4621
Practice Address - Fax:619-234-8884
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist