Gentry, Nicole

Gentry, Nicole is an individual health care provider with primary practice located at 2114 Artesia Blvd , Redondo Beach CA 90278-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gentry, Nicole can be contacted via phone (310) 802-6177.

Contact Information

Primary practice address
2114 Artesia Blvd Redondo Beach CA 90278-3014
Phone: (310) 802-6177
Fax: (310) 802-6178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16112 California

Profile Details

NPI number 1619017704
LBN Legal business name Gentry, Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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