Individual
GABRIELA KARLA DORMUS PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 JEFFREY LN, NILES, MI 49120-7706
(423) 503-2158
Mailing address
2425 JEFFREY LN, NILES, MI 49120-7706
(423) 503-2158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007732
MI
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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