Individual
GABRIELLE MARKIE NORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 CROUCH ST BLDG C, OCEANSIDE, CA 92054-4415
(760) 736-6767
Mailing address
605 CROUCH ST BLDG C, OCEANSIDE, CA 92054-4415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61252
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2021
Last updated
08/12/2022
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