Individual
MRS. GWENDOLYN MARIE HOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2689 SIERRA HIGHWAY, BOX 1359, ROSAMOND, CA 93560
(661) 256-7208
(661) 256-7209
Mailing address
1125 FAIRWIND AVE, ROSAMOND, CA 93560-6633
(661) 256-8180
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN198693
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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