Provider Demographics
NPI:1871189845
Name:ALBARRAN, GRACIELA ISABEL
Entity Type:Individual
Prefix:
First Name:GRACIELA
Middle Name:ISABEL
Last Name:ALBARRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 DURKIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-4927
Mailing Address - Country:US
Mailing Address - Phone:818-209-9870
Mailing Address - Fax:
Practice Address - Street 1:878 DURKIN ST
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-4927
Practice Address - Country:US
Practice Address - Phone:818-200-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program