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Individual

GUADALUPE FERNANDA PINA AMBRIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6833 STOCKTON BLVD STE 485, SACRAMENTO, CA 95823-2376
(916) 942-9144
Mailing address
3240 BELL ST APT 3, SACRAMENTO, CA 95821-1623
(805) 760-2009

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
06/25/2024
Last updated
05/28/2025
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