Most Relevant Information
Provider Data
| NPI Number: | 1003526864 |
| Provider Name: | WENDY GATTONI |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2022 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
7000B S CENTER DR
CLEARLAKE
CA
954228458
Practice Location Phone/Fax
| Phone: | 7075335829 |
| Fax: |
Provider Mailing Location
1173 ELEVENTH ST
LAKEPORT
CA
954534113
Provider Mailing Phone/Fax
| Phone: | 9254778730 |
| Fax: |