Banes, Gwendolyn

Banes, Gwendolyn is an individual health care provider with primary practice located at 995 Gateway Center Way Ste 300 , San Diego CA 92102-4550. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Banes, Gwendolyn can be contacted via phone (619) 398-2156.

Contact Information

Primary practice address
995 Gateway Center Way Ste 300 San Diego CA 92102-4550
Phone: (619) 398-2156
Fax: (619) 398-2168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN655020 California

Profile Details

NPI number 1255824959
LBN Legal business name Banes, Gwendolyn
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2018
Last updated Apr 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255824959 NPPES
California Other A2634637 DRIVER LICENSE

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