Individual provider · Type 1 NPI

Gabrielle Elyse Mouton

Student in an Organized Health Care Education/Training Program · Redondo Beach, CA

NPI number 1003330556 Active

Practice location

1200 Aviation Blvd Ste 100
Redondo Beach, CA 90278-4059

Call (310) 376-2468 Map

Fax (310) 376-6068

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003330556

Gabrielle Elyse Mouton's National Provider Identifier is 1003330556, issued on Jul 26, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redondo Beach, CA. The record was last updated on Jul 6, 2021.