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Individual

MRS. DENIA EREIDA GUILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8060
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8060

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497835201
NPI
CA
Enumeration date
10/16/2006
Last updated
07/08/2007
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