| Gabrielle Thompson Wy Llc | |
|
1968 S Coast Hwy # 634 Laguna Beach CA 92651-3681 | |
| (619) 780-4839 | |
| Not Available |
| Full Name | Gabrielle Thompson Wy Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1968 S Coast Hwy # 634, Laguna Beach, California |
| Authorized Official Name and Position | Gabrielle Thompson (OWNER) |
| Authorized Official Contact | 6102457523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Thompson Wy Llc 1968 S Coast Hwy # 634 Laguna Beach CA 92651-3681 Ph: (619) 780-4839 | Gabrielle Thompson Wy Llc 1968 S Coast Hwy # 634 Laguna Beach CA 92651-3681 Ph: (619) 780-4839 |
| NPI Number | 1144970450 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144970450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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