Individual
MS. GWENDOLYN LORRAINE STOOPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13 NOTTINGHAM LN, BOERNE, TX 78006
(830) 537-4078
(830) 537-4082
Mailing address
PO BOX 63009, PIPE CREEK, TX 78063
(830) 510-6466
(830) 537-4082
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
111987
TX
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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