Reynolds, Gabrielle
Reynolds, Gabrielle is an sole proprietor health care provider with primary practice located at 3003 Hualapai Mountain Rd Lot 8 , Kingman AZ 86401-5390. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is her primary health care specialty. Reynolds, Gabrielle can be contacted via phone (520) 748-7108.Contact Information
Primary practice address
3003 Hualapai Mountain Rd Lot 8
Kingman AZ 86401-5390
Phone: (520) 748-7108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona | |
| Agencies / Foster Care Agency | 253J00000X | Arizona |
Profile Details
| NPI number | 1215181219 |
|---|---|
| LBN Legal business name | Reynolds, Gabrielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2008 |
| Last updated | Oct 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215181219 | NPPES |
| Arizona | MEDICAID | 1215181219 |
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