Individual
GUISELDA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE BLDG A, CERES, CA 95307-4562
(209) 300-8800
Mailing address
2300 GALLERY DR, RIVERBANK, CA 95367-9507
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
691056
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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