Individual
DENISE VALENCIA GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
12321 HAWTHORNE BLVD, HAWTHORNE, CA 90250
(310) 263-1400
Mailing address
1830 E 215TH ST, CARSON, CA 90745-1814
(310) 493-3076
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
13354
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
481901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13354
NURSE PRACTITIONER
CA
01
—
481901
REGISTERED NURSE
CA
Enumeration date
04/01/2009
Last updated
03/16/2016
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