Individual
DR. GABRIELLE RENEE AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 MAIN ST, VINCENNES, IN 47591-1234
(812) 255-3003
(812) 255-5449
Mailing address
1209 S STATE ROAD 57, WASHINGTON, IN 47501-4367
(812) 254-0990
(812) 254-7730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004490A
IN
152W00000X
Optometrist
18004490B
IN
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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