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Nicholus Gentry

NPI 1669697223 · on the registry since 2007

Practice

Address
1790 Selah Loop Road #23
Selah, WA 98942
Phone
(509) 452-7418

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington