Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | CPO 1881 | CA |
Y | 222Z00000X | Podiatrist | CPO 1881 | CA |
N | 224P00000X | Prosthetist | CPO 1881 | CA |
NPI | 1356645386 |
---|---|
Provider Name | Britt-Mary Guerre-Aguilar |
First Address | Redlands, CA 92373-6303 |
Second Address | Redlands, CA 92373-6303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2011 |
Last Update Date | 11/06/2013 |