Search › Maine › 183500000X
Gabrielle Kana Tiezan
NPI 1306485065 · on the registry since 2019
Practice
- Address
- 741 Roosevelt Trl
Windham, ME 04062 - Phone
- (207) 893-2562
- Organisation at this address
- Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine