Individual
GABRIELLE CARMEN CHAN SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1801 W KNAPP ST STE 3, RICE LAKE, WI 54868-1381
(715) 234-3113
Mailing address
1801 W KNAPP ST STE 3, RICE LAKE, WI 54868-1381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3454
WI
Other
Enumeration date
06/02/2017
Last updated
03/17/2018
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