Individual
MS. BRENDA SUE GABRIELLIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2403 THISTLEDOWN CT, SEWELL, NJ 08080-3523
(856) 649-3503
Mailing address
2403 THISTLEDOWN CT, SEWELL, NJ 08080-3523
(856) 649-3503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04789700
NJ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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