Individual
SANDRA ELIZABETH DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE MIDW
Contact information
Practice address
25965 NORMANDIE AVE, HARBOR CITY, CA 90710-3416
(800) 780-1230
Mailing address
2160 FASHION AVE, LONG BEACH, CA 90810-3535
(310) 334-9983
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
95010318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
CA
Enumeration date
08/28/2019
Last updated
11/30/2021
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