Organization
GABRIELLE WADE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE HERNANDEZ (OWNER)
(914) 473-8949
Entity
Organization
Contact information
Practice address
225 NW SKYLINER SUMMIT LOOP, BEND, OR 97703-5573
(914) 473-8949
Mailing address
225 NW SKYLINER SUMMIT LOOP, BEND, OR 97703-5573
(914) 473-8949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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