Gina Rose Gastelum, P.A.C.
NPI #1912946567 in Fortuna, California
Provider Information
- NPI Number
- 1912946567
- Entity Type
- Individual
- Name
- Gina Rose Gastelum, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- P.A.C.
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Nov 2, 2021
Practice Location
- Address
- 3307 RENNER DR
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-3119
- Phone
- (707) 725-9832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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