Individual
CHRISTINE ELAINE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 HACKETT AVE, LONG BEACH, CA 90815-4637
(562) 506-3718
Mailing address
1331 HACKETT AVE, LONG BEACH, CA 90815-4637
(562) 506-3718
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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