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Gabrielle Mediano

NPI 1073206074 · on the registry since 2023

Practice

Address
5057 W Eagle Rock Way
West Valley City, UT 84120
Phone
(801) 634-4904

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah