Individual
MRS. GWENDOLYN ELIZABETH HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
419 30TH STREET ,SUITE 2, OAKLAND, CA 94609
(510) 775-2229
(510) 590-9938
Mailing address
419 30TH STREET ,SUITE 2, OAKLAND, CA 94609
(510) 775-2229
(510) 590-9938
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
579100
NURSE PRACTITIONER
CA
Enumeration date
09/29/2006
Last updated
11/07/2022
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