Buckles, Gwendoria

Buckles, Gwendoria is an sole proprietor health care provider with primary practice located at 720 Wood St , Eureka CA 95501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Buckles, Gwendoria can be contacted via phone (707) 268-2990.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501
Phone: (707) 268-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 811867 California
Nursing Service Providers / Registered Nurse 163W00000X RN067802 Louisiana

Profile Details

NPI number 1407002207
LBN Legal business name Buckles, Gwendoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated Jan 9th, 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 1407002207 NPPES
Louisiana Other RN067802 LA STATE BOARD OF NURSING

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