Individual
GWENDOLYN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MERCY CIR, 4TH FLOOR, RM 4172, CAMP PENDLETON, CA 92055
(760) 725-1288
Mailing address
200 MERCY CIR, 4TH FLOOR, RM 4172, CAMP PENDLETON, CA 92055
(760) 725-1288
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
04/13/2023
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