Individual
JANET LENORE GUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 CARLTON AVE, STOCKTON, CA 95204-4814
(530) 566-2305
Mailing address
2015 CARLTON AVE, STOCKTON, CA 95204-4814
(530) 566-2305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/06/2018
Last updated
11/06/2018
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