Individual
GWENDOLYN LUGENE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
(909) 387-7008
Mailing address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
(909) 387-7008
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30164
CA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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