Individual
DEBRA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 E WASHINGTON BLVD, SUITE 100, CRESCENT CITY, CA 95531-8160
(707) 465-6070
(707) 465-6925
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
749150
CA
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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