Individual
GABRIELLE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 S 12TH ST, TACOMA, WA 98405-2138
(786) 291-5624
Mailing address
1620 N PROCTOR ST, TACOMA, WA 98406-5227
(786) 291-5624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61508044
WA
163W00000X
Registered Nurse
RN60633283
WA
163W00000X
Registered Nurse
RN9377740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9377740
REGISTERED NURSE
FL
Enumeration date
03/25/2014
Last updated
01/11/2024
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