Individual
GABRIELLE NICOLE ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
5001 GREEN ASH TRL, MEDINA, OH 44256-5575
(248) 895-2504
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
04/19/2024
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