Most Relevant Information
Provider Data
| NPI Number: | 1003662081 |
| Provider Name: | GABRIELLE GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95096280 |
Most Important Dates
| Enumeration Date: | 04/29/2024 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
1739 VALLEY OAK WAY
OCEANSIDE
CA
920566427
Practice Location Phone/Fax
| Phone: | 9256402233 |
| Fax: |
Provider Mailing Location
1739 VALLEY OAK WAY
OCEANSIDE
CA
920566427
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |