Individual
MS. GABRIELA GARGANTA ANTAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 BIG HORN RD # 6H, VAIL, CO 81657-4995
(908) 720-6074
Mailing address
4011 BIG HORN RD # 6H, VAIL, CO 81657-4995
(908) 720-6074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001692
CO
235Z00000X
Speech-Language Pathologist
41YS00677600
NJ
Other
Enumeration date
06/04/2014
Last updated
12/12/2018
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