Individual
GISSELLE GENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 TERRACINA BLVD STE 202, REDLANDS, CA 92373-4867
(909) 335-0201
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
12/15/2025
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