Provider Demographics
NPI:1982452736
Name:TRASLAVINA, GLORIA J (CPT1)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:J
Last Name:TRASLAVINA
Suffix:
Gender:F
Credentials:CPT1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 NORA DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-7011
Mailing Address - Country:US
Mailing Address - Phone:408-230-9168
Mailing Address - Fax:
Practice Address - Street 1:1901 NORA DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-7011
Practice Address - Country:US
Practice Address - Phone:408-230-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT100006163246R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology