Individual
MRS. GENESSA NICOLE GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2003
(209) 808-9649
Mailing address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2003
(209) 808-9649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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