Individual
GABRIELLE MEDELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
05/28/2025
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