Individual
MARK GUANO SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
3088 WRENWOOD AVE, CLOVIS, CA 93619-9396
(518) 253-1532
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
759419
CA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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