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Individual

JACQUELINE DENISE GUYOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.O.T.A

Contact information

Practice address
330 GOLDEN SHORE STE 250, SUPPLEMENTAL HEALTHCARE, LONG BEACH, CA 90802
(866) 414-0448
Mailing address
330 GOLDEN SHORE STE250, SUPPLEMENTAL HEALTHCARE, LONG BEACH, CA 90802
(866) 414-0448

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
361
CA

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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