Individual
GABRIELLA HAUTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 UNIVERSITY PKWY, HIGH POINT, NC 27268-0002
(336) 841-9000
Mailing address
10 KEMBLE DR, SHREWSBURY, MA 01545-1690
(978) 875-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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