Individual
JEREMIAH DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 PARAMOUNT BLVD, LAKEWOOD, CA 90712-2904
(424) 296-6870
Mailing address
4930 PARAMOUNT BLVD, LAKEWOOD, CA 90712-2904
(424) 296-6870
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
01178272
CA
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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