Provider Demographics
NPI:1811627805
Name:ROMERO, GABRIELLA MICHELLE
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:MICHELLE
Last Name:ROMERO
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 1:9816 FAIR OAKS BLVD APT 816
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7054
Mailing Address - Country:US
Mailing Address - Phone:530-566-5714
Mailing Address - Fax:
Practice Address - Street 1:3671 BUSINESS DR STE 110
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-2233
Practice Address - Country:US
Practice Address - Phone:916-732-8966
Practice Address - Fax:916-454-1240
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion