Individual
GABRIELLE KATHERINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 PUDDLEDOCK RD STE 200, PRINCE GEORGE, VA 23875-1269
(804) 526-4822
Mailing address
5108 BROMLEY LN, RICHMOND, VA 23226-1535
(443) 944-7140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419481
VA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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