Individual
JUDITH GAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, WHNP
Contact information
Practice address
3711 LONG BEACH BLVD, LONG BEACH, CA 90807-3315
(562) 424-8422
Mailing address
3711 LONG BEACH BLVD, LONG BEACH, CA 90807-3315
(562) 424-8422
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
673000
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95000410
CA
Other
Enumeration date
03/28/2014
Last updated
08/28/2014
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