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Individual

GABRIELLE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
10101 N ARABIAN TRL UNIT 1052, SCOTTSDALE, AZ 85258-6215
(310) 400-9511
Mailing address
1538 STONER AVE APT 102, LOS ANGELES, CA 90025-2882

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/06/2025
Last updated
08/18/2025
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