Individual
GABRIELLA MARIE CUENCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45654 LOOKOUT DR, MACOMB, MI 48044-6235
(586) 961-9079
Mailing address
45654 LOOKOUT DR, MACOMB, MI 48044-6235
(586) 961-9079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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