Gates, Jackline Wanga

Gates, Jackline Wanga is an individual health care provider with primary practice located at 30195 Fraser Dr , Lake Elsinore CA 92530-7006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gates, Jackline Wanga can be contacted via phone (951) 252-2720.

Contact Information

Primary practice address
30195 Fraser Dr Lake Elsinore CA 92530-7006
Phone: (951) 252-2720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95013168 California

Profile Details

NPI number 1801432216
LBN Legal business name Gates, Jackline Wanga
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated Sep 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers