Provider Demographics
NPI:1477252575
Name:PERKO ESTEBAN, GABRIELLA (CNM)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:PERKO ESTEBAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1898 DEL MONTE CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1747
Mailing Address - Country:US
Mailing Address - Phone:925-922-2104
Mailing Address - Fax:
Practice Address - Street 1:120 LA CASA VIA STE 208
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3007
Practice Address - Country:US
Practice Address - Phone:925-935-5356
Practice Address - Fax:935-935-1070
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife