Individual
GREGORY SCOTT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
50249 CESAR CHAVEZ ST STE K, COACHELLA, CA 92236-1530
(760) 344-9951
Mailing address
50249 CESAR CHAVEZ ST STE K, COACHELLA, CA 92236-1530
(760) 344-9951
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95034702
CA
363LG0600X
Gerontology Nurse Practitioner
AP143487
TX
Other
Enumeration date
10/14/2019
Last updated
06/12/2025
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