Search › California › 1041C0700X
Gwendolyn Richardsmallwood
NPI 1952754905 · on the registry since 2016
Practice
- Address
- 13442 Huntington St
Fontana, CA 92336 - Phone
- (909) 697-9297
- Fax
- (909) 899-9854
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California