Individual
BETHZYRA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 RUBY STREET, IMPERIAL, CA 92251
(760) 457-9369
Mailing address
624 RUBY STREET, IMPERIAL, CA 92251
(760) 457-9369
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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