Individual
ELLENITA GALLEGOS GUICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(562) 674-1714
Mailing address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(562) 674-1714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
697816
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95019885
CA
Other
Enumeration date
11/30/2021
Last updated
04/10/2025
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