Individual
CAREY W. GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
333 E RAINBOW DR, AZUSA, CA 91702-2134
(626) 487-9992
Mailing address
P.O. BOX 1537, MONROVIA, CA 91017
(626) 595-0657
(626) 628-1791
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHT00063982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813805691
PORTABLE X-RAY
CA
Enumeration date
08/06/2016
Last updated
10/17/2022
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