Individual
ELIZABETH SOCORRO GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2418 HECATE PL, SAN JOSE, CA 95124-3311
(408) 655-4500
Mailing address
446 CENTURY OAKS CT, SAN JOSE, CA 95111-1810
(408) 603-9432
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
284784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284784
LICENSE VOCATIONAL NURSE
CA
Enumeration date
03/12/2020
Last updated
03/12/2020
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