Provider Demographics
NPI:1811406119
Name:BROOKS, GABRIELLE TRAUB (M TECH (HOM), CCH)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:TRAUB
Last Name:BROOKS
Suffix:
Gender:F
Credentials:M TECH (HOM), CCH
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:TRAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4125 SORRENTO VALLEY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121
Mailing Address - Country:US
Mailing Address - Phone:858-531-2579
Mailing Address - Fax:
Practice Address - Street 1:4125 SORRENTO VALLEY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:858-531-5279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath