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Individual
VANESSA T GAMBALA
Active
Individual
VANESSA T GAMBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
584220
CA
363L00000X
Nurse Practitioner
95000947
CA
363LA2200X
Adult Health Nurse Practitioner
95000947
CA
363LF0000X
Family Nurse Practitioner
Primary
95000947
CA
Other
Enumeration date
12/02/2014
Last updated
04/23/2025
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