Individual
GINA ANNE UGUCCIONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4370
Mailing address
1400 BARTON RD APT 911, REDLANDS, CA 92373-5493
(413) 774-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95000732
CRNA
CA
01
—
95058239
RN
CA
Enumeration date
06/13/2017
Last updated
06/13/2017
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