Individual
GORDON BENNETT CROMWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 E CARTWRIGHT AVE, FRESNO, CA 93725-9385
(559) 498-7100
(559) 498-7111
Mailing address
3103 E CARTWRIGHT AVE, FRESNO, CA 93725-9385
(559) 498-7100
(559) 498-7111
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN257768
CA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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