| Doctor Name: | DR. JENNALEE GAISER |
| NPI Number: | 1457611105 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | A-1759-13 |
| Business Practice Address: | 35th Mdg/ Sgpf Unit 5024 Apo, AP - 963195024 |
| Business Phone Number: | 011813117666638 |
| Business Fax Number: | |
| Mailing Address: | Psc 76 Box 5925, APO |
| State: | AP |
| Postal Code: | 963190038 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A-1759-13 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |