Individual
GABRIELLA MARIE SANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17065 S. 71 HIGHWAY, BELTON, MO 64012
(816) 348-1200
Mailing address
11010 DELAWARE PKWY APT 3010, KANSAS CITY, KS 66109-3583
(816) 286-0568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/08/2022
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