Individual
WANDA GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNPC
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-2600
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN205414
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN205414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN205414
—
CA
Enumeration date
08/05/2006
Last updated
09/11/2025
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