Provider Demographics
NPI:1942552237
Name:STRASSER, GAIL PATRICIA
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:PATRICIA
Last Name:STRASSER
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 1:7710 BALBOA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2261
Mailing Address - Country:US
Mailing Address - Phone:858-380-4290
Mailing Address - Fax:858-560-5600
Practice Address - Street 1:7710 BALBOA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2261
Practice Address - Country:US
Practice Address - Phone:858-380-4290
Practice Address - Fax:858-560-5600
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA654286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse