Individual
MS. JACKIE LEIGH BERNARDO DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-3101
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-3101
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95047187
CA
163WM0705X
Medical-Surgical Registered Nurse
95047187
CA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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