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CHARLOTTE ALYSHA RENE GAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3103 LONGHORN CIR, MANVEL, TX 77578-3277
(415) 410-4625
Mailing address
3103 LONGHORN CIR, MANVEL, TX 77578-3277
(415) 410-4625

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
840046
CA
163WC1500X
Community Health Registered Nurse
982545
TX
171M00000X
Case Manager/Care Coordinator
Primary
982545
TX

Other

Enumeration date
09/20/2018
Last updated
12/01/2023
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