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Individual

SOPHIA SHANTEL GAMEZ

Active
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Individual

SOPHIA SHANTEL GAMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95091596
CA
171M00000X
Case Manager/Care Coordinator
Primary
95091596
CA

Other

Enumeration date
03/21/2017
Last updated
04/22/2024
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