Individual
GABRIELLE RENA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14190 ELM ROW RD, ALBION, MI 49224-9611
(248) 797-7139
Mailing address
14190 ELM ROW RD, ALBION, MI 49224-9611
(248) 797-7139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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