GABRIEL LEWIS MACIAS

JACKSON, MS
NPI1689040669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: MS  R901038)
Enumeration Date2015-08-13
Last Update Date2015-10-22
Business Address
Mr. GABRIEL LEWIS MACIAS RN, NNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-4775
Mailing Address
Mr. GABRIEL LEWIS MACIAS RN, NNP-BC
817 TERRAPIN LN
BRANDON, MS 39047-8338
Phone number: 318-332-9085
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