Provider Demographics
NPI:1619789229
Name:GABRIEL, BRIGGETTE NABIL MANSOUR
Entity type:Individual
Prefix:
First Name:BRIGGETTE
Middle Name:NABIL MANSOUR
Last Name:GABRIEL
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 1:6424 NEPO CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1621
Mailing Address - Country:US
Mailing Address - Phone:650-714-4738
Mailing Address - Fax:
Practice Address - Street 1:6424 NEPO CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1621
Practice Address - Country:US
Practice Address - Phone:650-714-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist