Individual
SHERRY LANE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 FREMONT ST, COLUSA, CA 95932-2534
(530) 458-8635
Mailing address
6403 BRANDO LOOP, FAIR OAKS, CA 95628-3764
(916) 969-5853
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21451
CA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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