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Individual

GWEN WHITFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
4601 S BROADWAY, LOS ANGELES, CA 90037-2729
(213) 620-5712
Mailing address
842 E 89TH ST, LOS ANGELES, CA 90002-1606
(951) 451-0606

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN212258
CA

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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