Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1013241488 |
---|---|
Provider Name | Miss Adriana Guzman |
First Address | Los Angeles, CA 90031-2803 |
Second Address | Los Angeles, CA 90031-2803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 03/03/2021 |