Individual
FRED PAUL GUARCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1263 PLEASANT GROVE BLVD, STE 100, ROSEVILLE, CA 95747-5886
(916) 773-1195
(916) 773-1187
Mailing address
1263 PLEASANT GROVE BLVD, STE 100, ROSEVILLE, CA 95747-5886
(916) 773-1195
(916) 773-1187
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
6453T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0064530
—
CA
Enumeration date
06/23/2006
Last updated
04/22/2016
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