Provider Demographics
NPI:1043663354
Name:MCGUIRE, GAYLE LYNN (RN, LAC)
Entity Type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:LYNN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:RN, LAC
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Mailing Address - Street 1:77682 COUNTRY CLUB DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-0478
Mailing Address - Country:US
Mailing Address - Phone:760-345-2200
Mailing Address - Fax:760-345-2210
Practice Address - Street 1:77682 COUNTRY CLUB DR
Practice Address - Street 2:SUITE G
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-0478
Practice Address - Country:US
Practice Address - Phone:760-345-2200
Practice Address - Fax:760-345-2210
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 9253171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist