Individual
GABRIELLE ROSE THRAILKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLM
Contact information
Practice address
315 W DEQUINCY AVE, DE QUEEN, AR 71832-2423
(870) 642-5035
Mailing address
315 W DEQUINCY AVE, DE QUEEN, AR 71832-2423
(870) 642-5035
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R78711
AR
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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