Individual
GABRIELLE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, DAOM
Contact information
Practice address
5161 SOQUEL DR STE C, SOQUEL, CA 95073-2560
(831) 475-1055
Mailing address
2745 DAUBENBISS AVE, SOQUEL, CA 95073-2101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20196
CA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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