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Individual

MISS CRYSTAL M GUERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 235-6752
Mailing address
3225 MOUNT VERNON AVE, RIVERSIDE, CA 92507-3114
(323) 235-6752

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/06/2011
Last updated
07/06/2011
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