Individual
GABRIELLA MERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 TUPELO DR, MORGANTOWN, WV 26508-9157
(732) 421-4733
Mailing address
12 BACK BONE HILL RD, MILLSTONE TOWNSHIP, NJ 08510-8127
(732) 421-4733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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