Individual
MS. GABRIELLE BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
600 N. MAIN ST., TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
19083.1105
WY
176B00000X
Midwife
Primary
CNM732
NM
Other
Enumeration date
04/01/2011
Last updated
09/10/2021
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