Individual
MR. JASON GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 VINE ST APT 211, OCEANSIDE, CA 92054-4276
(760) 231-6690
Mailing address
749 NOB CIR, VISTA, CA 92084-3811
(760) 805-2080
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
D9390253
CA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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