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Individual

GEMMA B. STO NINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2548
Mailing address
710 PACIFIC AVE, EDINBURG, TX 78539-7356
(956) 624-7591
(888) 924-0697

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20R64
GU
363LF0000X
Family Nurse Practitioner
AP135674
TX
363LP2300X
Primary Care Nurse Practitioner
20NP02
GU
363LP2300X
Primary Care Nurse Practitioner
AP135674
TX

Other

Enumeration date
02/08/2018
Last updated
12/03/2020
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