Individual
GABRIELLE MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 WORCESTER AVE, MIDDLETOWN, DE 19709-8348
(919) 671-8968
Mailing address
708 WORCESTER AVE, MIDDLETOWN, DE 19709-8348
(919) 671-8968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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