Individual
GWENDOLYN K KNOTTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7675 STERLING AVE, SAN BERNARDINO, CA 92410-4738
(909) 381-8983
(909) 381-2933
Mailing address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN250278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN250278
—
CA
Enumeration date
05/05/2006
Last updated
07/08/2007
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