Gloria Godswill Basil, MD
Student in an Organized Health Care Education/Training Program in Porterville, CA. Individual provider (NPI-1).
NPI number1154112886
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1154112886
- Entity type
- Individual (NPI-1)
- Name
- Gloria Godswill Basil
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2025
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
465 W Putnam AvePorterville, CA 93257-3320
Phone 559-748-1110
Mailing address
465 W Putnam AvePorterville, CA 93257-3320
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