Individual
JACQUELINE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SHADOW LN, LAS VEGAS, NV 89106-4118
(702) 895-3011
Mailing address
1024 S MATTHEW WAY, ANAHEIM, CA 92808-1458
(714) 271-4079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NV
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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