Individual
GINA GAMBUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, OTC
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2011
Mailing address
3229 OLD HICKORY PL, WEST BEND, WI 53095-8315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
01/07/2021
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