Individual
GABRIELLE GIAMANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-7702
Mailing address
PO BOX 776084, CHICAGO, IL 60677-1910
(314) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021050320
MO
Other
Enumeration date
06/18/2020
Last updated
05/27/2022
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