Provider Demographics
NPI:1457839953
Name:VALDEZ PEREZ, GABRIEL (RNFA)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:VALDEZ PEREZ
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-2045
Mailing Address - Country:US
Mailing Address - Phone:180-590-4505
Mailing Address - Fax:
Practice Address - Street 1:38 TERRACE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-2045
Practice Address - Country:US
Practice Address - Phone:180-590-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95098908163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant