Individual
DR. CHARLES EDWARD GENTZSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MN, MA, EDD, FNP
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1913 BLACKHAWK AVE, OCEANSIDE, CA 92056-2907
(760) 724-2942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF11330
CA
Other
Enumeration date
06/08/2008
Last updated
12/01/2011
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