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Individual

MS. GWEN MANSBRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, PHN

Contact information

Practice address
7001A EAST PKWY STE 600, SACRAMENTO, CA 95823-2501
(916) 875-6171
Mailing address
7001A EAST PKWY STE 600, SACRAMENTO, CA 95823-2501
(916) 875-6171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173409
CA

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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