Individual
GWENDOLYN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
0101272804
VA
Other
Enumeration date
02/12/2020
Last updated
07/21/2026
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