Provider Demographics
NPI:1700332582
Name:FOSTER-BROWN, GABRIELA CRISTINA
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:CRISTINA
Last Name:FOSTER-BROWN
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 1:24140 GOLDEN MIST DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5304
Mailing Address - Country:US
Mailing Address - Phone:888-883-8393
Mailing Address - Fax:
Practice Address - Street 1:24140 GOLDEN MIST DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5304
Practice Address - Country:US
Practice Address - Phone:888-883-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA334700065374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide