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Kentara Gaines
Student in an Organized Health Care Education/Training Program in Sausalito, California
NPI 1508269812

Kentara Gaines is a Student in an Organized Health Care Education/Training Program based in Sausalito, CA. Kentara Gaines practices in Sausalito, CA. The NPI Number for Kentara Gaines is 1508269812 and holds a License No. (California).

The current practice location address for Kentara Gaines is 419 Drake Ave Apt 10, Sausalito, CA and can be reached out via phone at 415-518-3211.

Location: 419 Drake Ave Apt 10, Sausalito, CA, 94965-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508269812
Provider Name
Kentara Gaines
Credential
Provider Entity Type
Individual
Gender
Female
Address
419 Drake Ave Apt 10, Sausalito, CA, 94965-1126
Phone Number
415-518-3211
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
419 Drake Ave Apt 10
City
Sausalito
State
California
Zip
94965-1126
Phone Number
415-518-3211
Fax Number
person
Provider Business Mailing Address Details
Address
419 Drake Ave Apt 10
City
Sausalito
State
California
Zip
94965-1126
Phone Number
415-518-3211
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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