Individual
NICOLAS GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7411
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
372600000X
Adult Companion
Primary
—
—
374700000X
Technician
R1251560517
CA
Other
Enumeration date
04/26/2018
Last updated
05/15/2025
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