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Individual

GAEA JAMINE UMALI UPPALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
461 TENNESSEE ST, REDLANDS, CA 92373-8167
(909) 475-7371
Mailing address
26372 ANTONIO CIR, LOMA LINDA, CA 92354-6726
(909) 754-3633

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015727
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
03/20/2020
Last updated
10/18/2023
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