Individual
MS. GISELE MARIE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 BROADWAY, CROWN POINT, IN 46307-9830
(219) 662-5073
Mailing address
3447 43RD ST, HIGHLAND, IN 46322-3132
(219) 201-2085
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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