Individual
GABRIELLE THELMA-ROSE O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
255 SW 11TH ST APT 1001, MIAMI, FL 33130-4190
(814) 441-5177
Mailing address
255 SW 11TH ST APT 1001, MIAMI, FL 33130-4190
(814) 441-5177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86265235
SC
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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