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Individual

GUILLERMA TAMARRA ALFARERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.V.N.

Contact information

Practice address
5070 E BELGRAVIA AVE, FRESNO, CA 93725-1239
(559) 255-3486
Mailing address
6281 N MALSBURY AVE, FRESNO, CA 93711-0957
(559) 435-5732

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
169414
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EPS011420
CA
05
RVN002500
CA
Enumeration date
01/20/2007
Last updated
07/08/2007
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