Individual
GEMMA DULOSA BALCITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5838 EDISON PL, CARLSBAD, CA 92008-5520
(888) 515-3834
Mailing address
PO BOX 2443, GARDEN GROVE, CA 92842-2443
(657) 256-8354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529902
—
CA
Enumeration date
01/26/2022
Last updated
12/26/2022
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