Individual
MRS. GINA OTHEA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 EAST ST, SUITE 302, WOODLAND, CA 95776-4976
(530) 402-2800
(530) 402-2809
Mailing address
200 DRAGONFLY CIR, SACRAMENTO, CA 95834-2611
(916) 928-9132
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
514741
CA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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