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Individual

JESSICA ANGELINA GUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2360 IRVING ST, SAN FRANCISCO, CA 94122-1621
(559) 596-4389
Mailing address
1075 CREEKSIDE RIDGE DR STE 280, ROSEVILLE, CA 95678-3504
(559) 596-4389

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96792492D66138
CA
Enumeration date
02/12/2019
Last updated
03/23/2026
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