Individual
MS. CARMEN R. GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. (MASTER OF ARTS
Contact information
Practice address
1204 COTTONWOOD ST, SUITE 6, WOODLAND, CA 95695-4362
(530) 668-1663
(530) 668-8150
Mailing address
1204 COTTONWOOD ST, SUITE 6, WOODLAND, CA 95695-4362
(530) 668-1663
(530) 668-8150
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU310 AND HA3045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0003100
—
CA
05
—
HA0030450
—
CA
Enumeration date
02/12/2007
Last updated
07/09/2007
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