Individual
GABRIELLE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 BELLO DR, DIXON, CA 95620-4811
(707) 470-9242
Mailing address
1215 BELLO DR, DIXON, CA 95620-4811
(707) 470-9242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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