Individual
MIA ANNE GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
559 E ALISAL ST, SUITE 201, SALINAS, CA 93905-2516
(831) 769-8800
Mailing address
1615 BUNKER HILL WAY, SUITE 100, SALINAS, CA 93906-6013
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70832F
—
CA
05
—
HAP70832F
—
CA
01
—
ZZZ15685Z
MEDICARE GRP
CA
Enumeration date
07/19/2010
Last updated
07/19/2010
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