Individual
MISS AGNES DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17412 BLACKHAWK ST, GRANADA HILLS, CA 91344-6036
(707) 342-4716
Mailing address
17412 BLACKHAWK ST, GRANADA HILLS, CA 91344-6036
(707) 342-4716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36781
CA
Other
Enumeration date
01/20/2015
Last updated
12/02/2021
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