Individual
ANGEL GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 SOUTH VIA LATA, COLTON, CA 92324-3978
(909) 433-0445
Mailing address
790 SOUTH VIA LATA, COLTON, CA 92324-3978
(909) 433-0445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/29/2022
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