Individual
ANTHONY ALEXANDER GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1855 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 398-6300
Mailing address
1855 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 398-6300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
688992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871689315
—
CA
Enumeration date
10/24/2017
Last updated
10/24/2017
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