Doctor Name: | GABRIELLE DURBIN |
NPI Number: | 1770768624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | GT203134G |
Business Practice Address: | W 7164 Diagonal Rathdrum, ID - 838580283 |
Business Phone Number: | 2087552368 |
Business Fax Number: | |
Mailing Address: | Po Box 283, RATHDRUM |
State: | ID |
Postal Code: | 838580283 |
Phone Number: | 2087552368 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | GT203134G |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |