Gina Gayl Masson Provenzano
ActiveCalifornia license A212103
License
- Licensed by
- Medical Board of California
- License number
- A212103
- Status
- Active (Current)
- First issued
- September 22, 2026
- Expires
- November 30, 2028
- License holder
- Gina Gayl Masson Provenzano
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
609 E Orangeburg Ave Ste 201
Modesto, CA 95350-5512
Modesto, CA 95350-5512
Stanislaus County