Individual
GUADALUPE HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BRN
Contact information
Practice address
1415 ROSS AVE EL CENTRO CA, EL CENTRO, EL CENTRO, CA 92243
(760) 339-7146
Mailing address
1415 ROSS AVE EL CENTRO CA, EL CENTRO, EL CENTRO, CA 92243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
438451
CA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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