Individual
GWEN ANNE BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 841-4100
Mailing address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6312
(530) 233-6339
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN269012
CA
Other
Enumeration date
05/02/2017
Last updated
12/08/2021
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