Individual
MR. JESSE IGNACIO GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3659 54TH ST. LOMA VISTA AVE., HOUSE, MAYWOOD, CA 90270-2119
(323) 537-4107
Mailing address
3659 E 54TH ST, MAYWOOD, CA 90270-2119
(323) 537-4107
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
E2425243
CA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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