Individual
GABRIELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 CAMINO DEL RIO S STE 530, SAN DIEGO, CA 92108-3503
(440) 600-8982
Mailing address
404 CAMINO DEL RIO S STE 530, SAN DIEGO, CA 92108-3503
(440) 600-8983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95037025
CA
Other
Enumeration date
12/08/2025
Last updated
03/05/2026
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