Individual
GAYLE L PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 893-9464
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
153808
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP70436F
—
CA
05
—
FHC70436F
—
CA
05
—
HAP70436F
—
CA
01
—
W11698
GROUP ID
CA
Enumeration date
04/17/2007
Last updated
10/24/2007
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