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Individual

ANGELA GUANDIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
434 TRELLIS DR, FERNLEY, NV 89408-7571
(775) 302-3593
Mailing address
434 TRELLIS DR, FERNLEY, NV 89408-7571
(775) 302-3593

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA031027
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00001791413
NV
Enumeration date
01/06/2015
Last updated
01/06/2015
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