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Individual

LOUIS GUITRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7517
(323) 308-4401
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7517
(323) 308-4401

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001208
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01261511
CA
Enumeration date
10/09/2012
Last updated
12/20/2016
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