Individual
MRS. JESSICA LYNN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AOCNP, NP-C, CNS
Contact information
Practice address
514 N PROSPECT AVE, 4TH FLOOR, REDONDO BEACH, CA 90277-3036
(310) 750-3300
(310) 379-0587
Mailing address
514 N PROSPECT AVE, 4TH FLOOR, REDONDO BEACH, CA 90277-3036
(310) 750-3300
(310) 379-0587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19180
CA
Other
Enumeration date
11/24/2009
Last updated
11/06/2019
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