Individual
GABRIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2000
Mailing address
315 E WOPSONONOCK AVE, ALTOONA, PA 16601-4019
(570) 377-0140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063991
PA
Other
Enumeration date
09/26/2022
Last updated
01/02/2024
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