Provider Demographics
NPI:1285054833
Name:ARUNDEL, GILLIAN ANN
Entity type:Individual
Prefix:MRS
First Name:GILLIAN
Middle Name:ANN
Last Name:ARUNDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 17TH AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2369
Mailing Address - Country:US
Mailing Address - Phone:415-823-3774
Mailing Address - Fax:
Practice Address - Street 1:234 17TH AVE
Practice Address - Street 2:APT 3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2369
Practice Address - Country:US
Practice Address - Phone:415-823-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-12418174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN