Individual
DERRICK GENE GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Mailing address
545 LAUREL ST, SAN DIEGO, CA 92101-1634
(619) 233-4399
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
255107
CA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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