Individual
CONCEPCION DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20929 DIVONNE DR, WALNUT, CA 91789-2526
(909) 576-7940
Mailing address
20929 DIVONNE DR, WALNUT, CA 91789-2526
(909) 576-7940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015861
CA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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