Individual
GABRIELLE ALEXIA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1694 TORRINGTON CT, CORDOVA, TN 38016-2332
(901) 412-8575
Mailing address
1694 TORRINGTON CT, CORDOVA, TN 38016-2332
(901) 412-8575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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