Individual
MRS. GAUDENCIA RUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9449 IMPERIAL HWY, DOWNEY, CA 90242-2814
(562) 657-2678
Mailing address
11114 EXCELSIOR DR, NORWALK, CA 90650-5644
(562) 863-5802
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
522362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13356
FURNISHING NUMBER
CA
Enumeration date
03/02/2006
Last updated
12/06/2021
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