Individual
DR. LUCIE N. GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 GREEN VALLEY RD, FREEDOM, CA 95019-3160
(831) 724-7874
Mailing address
160 GREEN VALLEY RD, FREEDOM, CA 95019-3160
(831) 724-7874
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
C41941
CA
Other
Enumeration date
08/18/2006
Last updated
07/05/2011
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