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NPI Code Detail

MEDICARE: GABRIELA LUA

MEDICARE:   GABRIELA  LUA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1285415729
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA LUA
Provider Business Mailing Address
First Line : 6661 HOMESTEAD AVE
Second Line :
City : TACOMA
State : WA
Zip : 98404-5019
Country : US
Telephone Number : 253-888-3929
Fax Number :
Provider Business Practice Location Address
First Line : 6661 HOMESTEAD AVE
Second Line :
City : TACOMA
State : WA
Zip : 98404-5019
Country : US
Telephone Number : 253-888-3929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2023
Last Update Date : 10/11/2023

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Directions to “ GABRIELA LUA ” Practice Location

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