Individual
MISS GABRIELA SAILE HERNANDEZ DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-I
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
870255206
UT
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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