Individual
MS. VIRGENE ANN GABISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
25924 COMANCHE ST, BROOKSVILLE, FL 34601-4237
(352) 799-7361
Mailing address
25924 COMANCHE ST, BROOKSVILLE, FL 34601-4237
(352) 799-7361
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
32910
FL
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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