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Organization

STATNOTE

Active
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Organization

STATNOTE

Active
Other names
Cannery Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARDO GUERRA BONILLA MD (CEO)
(323) 391-3442
Entity
Organization

Contact information

Practice address
2027 CANNERY LOOP, DAVIS, CA 95616-0776
(323) 391-3442
Mailing address
2020 5TH ST # 1478, DAVIS, CA 95616-4019

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
About Stedi
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  • EDI platform