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Individual

MISS BRENDA GUADIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4755 E CESAR E CHAVEZ AVE, EAST LOS ANGELES, CA 90022-1267
(323) 268-9191
Mailing address
613 LEONARD AVE, LOS ANGELES, CA 90022-3507

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019089
CA

Other

Enumeration date
01/29/2022
Last updated
01/29/2022
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