Individual
SUSAN GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-REGISTERED NURSE
Contact information
Practice address
2695 COUNTRY LN, WESTLAKE VILLAGE, CA 91361-5534
(805) 217-8733
(805) 272-9382
Mailing address
5776 LINDERO CANYON RD STE D-361, WESTLAKE VILLAGE, CA 91362-6428
(805) 217-8733
(805) 272-9382
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
556522
CA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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