Individual
SUSAN GAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5225 NORTH LAKE BLVD, CARNELIAN BAY, CA 96140
(530) 546-1981
Mailing address
11762 HIGHLAND AVE, TRUCKEE, CA 96161-1714
(530) 587-2703
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
412733
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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