Individual
GABRIELLE ALEXANDRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2280 DAMIEN AVE, LA VERNE, CA 91750-5296
(909) 596-1946
Mailing address
2280 DAMIEN AVE, LA VERNE, CA 91750-5296
(909) 596-1946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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