Individual
GABRIELLA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 SW 30TH ST, DES MOINES, IA 50321-2047
(515) 664-6895
Mailing address
3607 SW 30TH ST, DES MOINES, IA 50321-2047
(515) 664-6895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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