Individual
ILIANA BRIELLE GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12125 SW 123RD CT, TIGARD, OR 97223-3054
(971) 226-3560
Mailing address
12125 SW 123RD CT, TIGARD, OR 97223-3054
(971) 226-3560
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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