Provider Demographics
NPI:1669369088
Name:FARROW, GABRIELLE ROSE
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ROSE
Last Name:FARROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22035 BURBANK BLVD APT 338
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4749
Mailing Address - Country:US
Mailing Address - Phone:937-689-3692
Mailing Address - Fax:
Practice Address - Street 1:28632 ROADSIDE DR STE 170
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-6083
Practice Address - Country:US
Practice Address - Phone:818-322-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach