Individual
ALFONSO GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12849 PAN AM BLVD, MORENO VALLEY, CA 92553-1802
(951) 488-5812
Mailing address
12849 PAN AM BLVD, MORENO VALLEY, CA 92553-1802
(951) 488-5812
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN252412
CA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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