Organization
BRAVE ROOTS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELISA GUERRERO (ADMINISTRATOR)
(562) 412-8589
Entity
Organization
Contact information
Practice address
1977 RAINBOW RIDGE ST, CORONA, CA 92882-5150
(562) 412-8589
Mailing address
1977 RAINBOW RIDGE ST, CORONA, CA 92882-5150
(562) 412-8589
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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