Individual
MR. GREGORY GAGE WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSRD
Contact information
Practice address
2315 STOCKTON BLVD, STE 0102, SACRAMENTO, CA 95817-2201
(916) 703-3117
(916) 703-3118
Mailing address
2315 STOCKTON BLVD, STE 0102, SACRAMENTO, CA 95817-2201
(916) 703-3117
(916) 703-3118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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