Individual
JACQUELYNN BANABAN GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 598-1311
Mailing address
7421 SUSAN CIR, LA PALMA, CA 90623-1325
(808) 349-8152
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95007291
CA
Other
Enumeration date
09/26/2017
Last updated
07/28/2025
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