Provider Demographics
NPI:1609023456
Name:CEPE, ALAN REX GIL TALAGUIT
Entity Type:Individual
Prefix:MR
First Name:ALAN REX GIL
Middle Name:TALAGUIT
Last Name:CEPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34240 ASPEN LOOP
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-8018
Mailing Address - Country:US
Mailing Address - Phone:925-303-3252
Mailing Address - Fax:
Practice Address - Street 1:34240 ASPEN LOOP
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-8018
Practice Address - Country:US
Practice Address - Phone:925-303-3252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA702436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse