Individual
GABRIELLE PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 MAIN STREET SUITE 104, PHILADELPHIA, PA 19127
(267) 334-2639
Mailing address
4001 MAIN STREET SUITE 104, PHILADELPHIA, PA 19127
(267) 334-2639
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
66583601
PA
376J00000X
Homemaker
66583601
PA
385H00000X
Respite Care
66583601
PA
Other
Enumeration date
08/10/2022
Last updated
03/14/2023
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