Individual
GREGORY L DALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6065 HIGHWAY 193, GEORGETOWN, CA 95634
(530) 333-2555
(530) 333-2832
Mailing address
PO BOX 1807, GEORGETOWN, CA 95634-1807
(530) 333-2555
(530) 333-2832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN369163
CA
363L00000X
Nurse Practitioner
Primary
NP6962
CA
Other
Enumeration date
12/14/2005
Last updated
04/16/2008
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