Individual
JANELLE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9289 BRANSTETTER PL, STOCKTON, CA 95209-1700
(209) 477-5252
Mailing address
7919 PEPPERTREE DR, STOCKTON, CA 95207-1453
(510) 557-3746
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
691945
CA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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