Provider / Organization | NPI | Date Certified |
---|---|---|
GABRIELLE ROSE KOLESAR | 1699523803 | 2024-05-11 |
Gabrielle Rose Kolesar is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699523803. Registration indicates Gabrielle Rose Kolesar is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Gabrielle Rose Kolesar |
Practice Office Address | 190 MONTIBELLO DR MOORESVILLE, NC US |
Practice Office Telephone | 7047995256 |
Mailing Address | 190 MONTIBELLO DR MOORESVILLE, NC 281179134 US |
Business Telephone | 7047995256 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |