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Individual

CATHRYN DE GUZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
91275 66TH ST SUITE 500, MECCA, CA 92254-1251
(760) 396-1249
(760) 396-1253
Mailing address
91275 66TH AVE, SUITE 500, MECCA, CA 92254
(760) 396-1249
(760) 396-1253

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56870
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033778576
CA
Enumeration date
06/09/2019
Last updated
07/14/2022
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