Individual
GWENDOLYN KAY SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15805 S BUDLONG AVE, GARDENA, CA 90247-4303
(310) 965-7906
Mailing address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(310) 965-7906
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1464
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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