Individual
MR. GLENN MICHAEL DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13330 BLOOMFIELD AVE STE 111, NORWALK, CA 90650-3264
(562) 868-0733
Mailing address
19416 CHEYENNE WELLS CIR, WALNUT, CA 91789-4371
(562) 868-0733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18213
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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