Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-30055 | CA |
NPI | 1003885591 |
---|---|
Provider Name | Dr. Precy Lyn Pablo Guevarra |
First Address | San Diego, CA 92126-4595 |
Second Address | San Diego, CA 92126-4595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |