Individual
JESSICA GABRIELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5982
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5982
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
UO7235
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
11/06/2020
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