Provider Demographics
NPI:1891583308
Name:KLEIN, GABRIELLE (ND)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:KLEIN
Suffix:
Gender:
Credentials:ND
Other - Prefix:DR
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:135 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-2558
Mailing Address - Country:US
Mailing Address - Phone:415-269-4065
Mailing Address - Fax:
Practice Address - Street 1:435 PETALUMA AVE STE 150
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4273
Practice Address - Country:US
Practice Address - Phone:707-861-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1554175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath