Rebecca Sue Gentry A.N.P.

NPI 1134278914 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1134278914
Gender Female
Enumeration Date 01/09/2007
Last Updated 01/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
17075 DEVONSHIRE STREET
STE 204
NORTHRIDGE CA, 91325-5408, US
Phone (818) 368-8929
Fax (818) 368-8940
Business Location
17075 DEVONSHIRE STREET
STE 204
NORTHRIDGE CA, 91325-5408, US
Phone (818) 368-8929
Fax (818) 368-8940
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 580902
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According to our database, Rebecca Sue Gentry A.N.P. NPI is 1134278914, taxonomy code is 363L00000X and license number is 580902, license state is located at California. Rebecca Sue Gentry A.N.P. physically located at 17075 Devonshire Street, Northridge CA, 91325-5408. NPI Number Rebecca Sue Gentry A.N.P. has the Individual type.

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1134278914 NPI number is provided on an as is basis without warranty of any kind. 1134278914 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Sue Gentry A.N.P. are for informational purposes only.