Individual
ALICE GENTZLER GENUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
659 CHERRY ST, SANTA ROSA, CA 95604
(707) 526-8300
(707) 526-8310
Mailing address
659 CHERRY ST, SANTA ROSA, CA 95604
(707) 526-8300
(707) 526-8310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP13037
CA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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