Individual
GABRIELLE NICOLE VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 S HAWTHORNE RD STE 310, WINSTON SALEM, NC 27103-3915
(336) 268-3129
Mailing address
1901 S HAWTHORNE RD STE 310, WINSTON SALEM, NC 27103-3915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001012633
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/11/2022
Last updated
05/02/2024
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