Individual
GABRIELLE MARIE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 FERONIA WAY, RUTHERFORD, NJ 07070-2102
(973) 650-7112
Mailing address
126 FERONIA WAY, RUTHERFORD, NJ 07070-2102
(973) 650-7112
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
26NR22236000
NJ
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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