Individual
GABRIELLE WIENCKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 S BABCOCK ST STE 1, MELBOURNE, FL 32901-1459
(321) 951-1010
(321) 951-1010
Mailing address
675 S BABCOCK ST, MELBOURNE, FL 32901-1459
(321) 951-1010
(321) 952-4038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
APRN11030359
FL
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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