Provider Demographics
NPI:1326451956
Name:GABRIELLE, MARIA (ND)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:GABRIELLE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CONDESA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-2333
Mailing Address - Country:US
Mailing Address - Phone:505-438-4848
Mailing Address - Fax:505-438-4848
Practice Address - Street 1:17 CONDESA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-2333
Practice Address - Country:US
Practice Address - Phone:505-438-4848
Practice Address - Fax:505-438-4848
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath