Individual
GABRIELLE ELISHA GHOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
4431 N CEDARWOOD DR, WASILLA, AK 99654-4406
(404) 998-2394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128029
AK
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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