Individual
GILBERTO GUZMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST # SY, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
PO BOX 630, THERMAL, CA 92274-0630
(845) 797-3260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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