Provider Demographics
NPI:1578597746
Name:GABRILLO, ESTRELLA TORRES (RN/ NP)
Entity Type:Individual
Prefix:MRS
First Name:ESTRELLA
Middle Name:TORRES
Last Name:GABRILLO
Suffix:
Gender:F
Credentials:RN/ NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 N 13TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4946
Mailing Address - Country:US
Mailing Address - Phone:909-949-9555
Mailing Address - Fax:909-949-9557
Practice Address - Street 1:631 N 13TH AVE STE B
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4946
Practice Address - Country:US
Practice Address - Phone:909-949-9555
Practice Address - Fax:909-949-9557
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA396609163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health