Organization
SVETLANA GENTRY, NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SVETLANA GENTRY N.P. (N.P.)
(619) 737-7226
Entity
Organization
Contact information
Practice address
719 I AVE, CORONADO, CA 92118-2017
(619) 737-7226
Mailing address
719 I AVE, CORONADO, CA 92118-2017
(619) 737-7226
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18073
CALIFORNIA STATE BOARD OF NURSING
CA
Enumeration date
02/28/2012
Last updated
02/28/2012
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