Individual
MR. CONRADO JR GUADIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 W MARIGOLD AVE, LA HABRA, CA 90631-9249
(714) 603-5118
Mailing address
1250 W MARIGOLD AVE, LA HABRA, CA 90631-9249
(714) 603-5118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021714
CA
Other
Enumeration date
08/02/2022
Last updated
08/23/2023
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