Individual
MS. GWENDOLYN R RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APN
Contact information
Practice address
1140 SONOMA AVE STE 3, SANTA ROSA, CA 95405-4817
(707) 766-4276
Mailing address
206A BOYCE ST, SANTA ROSA, CA 95401-5426
(707) 545-4675
(707) 547-2229
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW1802
CA
Other
Enumeration date
04/08/2008
Last updated
05/07/2024
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