Individual
GABRIELLE LASHELL GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3309 FORESTVILLE PL, FORESTVILLE, MD 20747-4409
(301) 420-6610
(301) 735-0294
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00713600
NJ
152W00000X
Optometrist
Primary
TA3012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136295489
DRIVERS LICENSE
TN
Enumeration date
06/29/2022
Last updated
08/01/2024
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