Individual
MR. DE WAYNE D DELA GUERRA
Active
Individual
MR. DE WAYNE D DELA GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN02498
WA
164X00000X
Licensed Vocational Nurse
Primary
240-636
CA
Other
Enumeration date
11/27/2012
Last updated
08/26/2020
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