Individual
MISS GWENDOLYN MEREDITH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 795-9901
Mailing address
29008 GLADIOLUS DR, CANYON COUNTRY, CA 91387-1828
(661) 600-8328
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
845947
CA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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