Individual
MELINDA GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AG-CNS
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
1285 FERN AVE, FELTON, CA 95018-9515
(831) 334-0952
(831) 704-7625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754623
CA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4390
CA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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