Individual
AMARYLLIS GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 HUGHES WAY STE 100, LONG BEACH, CA 90810-1877
(310) 221-6336
Mailing address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703095545
MI
164X00000X
Licensed Vocational Nurse
Primary
286490
CA
Other
Enumeration date
04/06/2015
Last updated
07/10/2019
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