Individual
GUADALUPE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1441 CONSTITUTION BLVD, BLDG 200, FLOOR 1, SUITE 105, SALINAS, CA 93906-3100
(831) 769-8660
Mailing address
1615 BUNKER HILL WAY, SUITE 100, SALINAS, CA 93906-6013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
364572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70125F
—
CA
01
—
ZZZ020402Z
MEDICARE GRP
CA
Enumeration date
05/24/2010
Last updated
05/24/2010
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