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GWENDOLYN PRESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(213) 639-0251
Mailing address
1491 N MAR VISTA AVE, PASADENA, CA 91104-2506

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21719
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21719
CA

Other

Enumeration date
07/15/2013
Last updated
10/23/2019
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