Individual
GABRIELLE VIRGINIA BALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1220 STEWART STREET, LAS CRUCES, NM 88001
(575) 646-5365
Mailing address
1220 STEWART STREET, LAS CRUCES, NM 88001
(575) 646-5365
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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