Provider Demographics
NPI:1689211187
Name:PRICE, GABRIEL DOMINIQUE
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:DOMINIQUE
Last Name:PRICE
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 1:7700 RAINIER AVE S APT 401
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4163
Mailing Address - Country:US
Mailing Address - Phone:206-643-9250
Mailing Address - Fax:
Practice Address - Street 1:7700 RAINIER AVE S APT 401
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4163
Practice Address - Country:US
Practice Address - Phone:206-643-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula