Individual
MRS. GABRIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-OB, BSN, PHN
Contact information
Practice address
275 BECK AVE # MS 5-240, FAIRFIELD, CA 94533-6804
(707) 863-1360
(707) 421-6618
Mailing address
275 BECK AVE # MS 5-240, FAIRFIELD, CA 94533-6804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660044
CA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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