MRS. Nicole Marie Gentry, LMP
NPI #1609199967 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1609199967
- Entity Type
- Individual
- Name
- MRS. Nicole Marie Gentry, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Mar 1, 2010
- Last Updated
- Mar 1, 2010
Practice Location
- Address
- 2114 RIVERSIDE DR
- Address 2
- SUITE 103
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5453
- Phone
- (136) 848-1934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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