Individual
GABRIELLE NOEL BROWN-WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
405 NE DIVISION ST, GRESHAM, OR 97030-3947
(503) 661-0791
Mailing address
110 SE VISTA AVE APT 1, GRESHAM, OR 97080-8051
(925) 864-9834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23896
OR
225700000X
Massage Therapist
43966
CA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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