Pierce Jordan Gwinn
Community Health Worker in Hemet, CA. Individual provider (NPI-1).
NPI number1659139319
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1659139319
- Entity type
- Individual (NPI-1)
- Name
- Pierce Jordan Gwinn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
258 N Thompson StHemet, CA 92543-4311
Phone 951-288-5873
Mailing address
258 N Thompson StHemet, CA 92543-4311
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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