GABRIELLE DEFAZIO

MANAKIN SABOT, VA
NPI1073161659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
GABRIELLE DEFAZIO
44 BROAD STREET RD
MANAKIN SABOT, VA 23103-2213
Phone number: 804-784-7090
Mailing Address
GABRIELLE DEFAZIO
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714