Individual
GABRIELLE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 14TH AVE, ALTOONA, PA 16601-2112
(814) 935-7532
Mailing address
2521 14TH AVE, ALTOONA, PA 16601-2112
(814) 935-7532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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