JELAN ANTONIO GENTRY

SACRAMENTO, CA
NPI1336808716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-12-13
Last Update Date2024-02-20
Business Address
JELAN ANTONIO GENTRY
8912 VOLUNTEER LN
SACRAMENTO, CA 95826-3221
Phone number: 916-344-0199
Mailing Address
JELAN ANTONIO GENTRY
8912 VOLUNTEER LN
SACRAMENTO, CA 95826-3221
Phone number: 916-344-0199