Individual
NELL ENRIQUEZ DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1244 TRAVIS BLVD, FAIRFIELD, CA 94533-4802
(707) 422-7750
Mailing address
1244 TRAVIS BLVD, FAIRFIELD, CA 94533-4802
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9106
CA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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