Individual
GABRIELLE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 M 89, PLAINWELL, MI 49080-1180
(269) 680-3710
Mailing address
3169 DEBRUIN DR, GRAND RAPIDS, MI 49525-9357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1356197594
MI
Other
Enumeration date
04/29/2024
Last updated
11/12/2024
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