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Tina Marie Gambrell

NPI Registration Record

Provider / OrganizationNPIDate Certified
TINA MARIE GAMBRELL15488379582021-06-06

Tina Marie Gambrell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548837958. Registration indicates Tina Marie Gambrell is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Tina Marie Gambrell
Practice Office Address2751 NAPA VALLEY CORPORATE DR BLDG A
NAPA, CA US
Practice Office Telephone7072991760
Practice Office Fax7072992199
Mailing Address825 BRIARWOOD CT
FAIRFIELD, CA 945331432 US
Business Telephone7076316553
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
CA
OPI Codes

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