Provider Demographics
NPI:1952657439
Name:GABRIEL, JESSICA KORINA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:KORINA
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1425 S MAIN ST
Mailing Address - Street 2:KAISER PERMANENTE MOB, 2ND FLOOR ONCOLOGY PHARMACY
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5318
Mailing Address - Country:US
Mailing Address - Phone:925-295-6301
Mailing Address - Fax:925-295-6290
Practice Address - Street 1:1425 S MAIN ST
Practice Address - Street 2:KAISER PERMANENTE MOB, 2ND FLOOR ONCOLOGY PHARMACY
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5318
Practice Address - Country:US
Practice Address - Phone:925-295-6301
Practice Address - Fax:925-295-6290
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist