Individual
GREG DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
(530) 622-2385
Mailing address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6213
(530) 622-2385
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
276866
CA
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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