Individual
GABRIELLE GERLACH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 MOCKINGBIRD VALLEY RD APT 47, LOUISVILLE, KY 40207-1357
(502) 794-7827
Mailing address
410 MOCKINGBIRD VALLEY RD APT 47, LOUISVILLE, KY 40207-1357
(502) 794-7827
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2020
Last updated
03/22/2022
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