Rickenbacker - Lee, Gwendolyn

Rickenbacker - Lee, Gwendolyn is an sole proprietor health care provider with primary practice located at 15095 Amargosa Rd Suite 201, Victorville CA 92394-1879. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Rickenbacker - Lee, Gwendolyn can be contacted via phone (760) 245-4695.

Contact Information

Primary practice address
15095 Amargosa Rd Suite 201 Victorville CA 92394-1879
Phone: (760) 245-4695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1922419316
LBN Legal business name Rickenbacker - Lee, Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2014
Last updated May 19th, 2014 - about 11 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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