Individual
GREGORY DINO GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
15644 POMERADO RD STE 400, POWAY, CA 92064-2418
(858) 312-1672
(858) 312-6421
Mailing address
1547 E WASHINGTON AVE APT 3, EL CAJON, CA 92019-2558
(619) 507-6783
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13039
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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