Most Relevant Information
Provider Data
| NPI Number: | 1003443573 |
| Provider Name: | JOANNA GHOBRIAL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2020 |
| Last Updated: | 03/25/2020 |
Provider Practice Location
240 MEETING HOUSE LN
SOUTHAMPTON
NY
119685009
Practice Location Phone/Fax
| Phone: | 6317260409 |
| Fax: |
Provider Mailing Location
240 MEETING HOUSE LN
SOUTHAMPTON
NY
119685009
Provider Mailing Phone/Fax
| Phone: | 6317260409 |
| Fax: |