# SANDRA ELIZABETH DE GUZMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295383602
- **Gender:** F
- **Credential:** CERTIFIED NURSE MIDW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 95010318 | CA | — |

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 11/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0 | — | CA |