Search › Arizona › 363LA2200X
Omar Gabriel, ANP
NPI 1427401652 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3204 Kiersten Ln
Kingman, AZ 86401 - Phone
- (928) 279-9387
- Organisation at this address
- Carepro Llc
Professional Staffing And Transport Services LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2100X
363LG0600X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona