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Ednagrace Guillen, NP
Family Nurse Practitioner in South Gate, California
NPI 1114381936

Ednagrace Guillen is a Family Nurse Practitioner based in Cerritos, CA and is specialized in Family. Ednagrace Guillen practices in South Gate, CA and has the professional credentials of NP. The NPI Number for Ednagrace Guillen is 1114381936 and holds a License No. 95002989 (California).

The current practice location address for Ednagrace Guillen is 3050 Tweedy Blvd, South Gate, CA and can be reached out via phone at 323-357-0700.

Location: 3050 Tweedy Blvd, South Gate, CA, 90703-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114381936
Provider Name
Ednagrace Guillen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3050 Tweedy Blvd, South Gate, CA, 90703-1117
Phone Number
323-357-0700
Fax Number
Provider Enumeration Date
04/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3050 Tweedy Blvd
City
South Gate
State
California
Zip
90280
Phone Number
323-357-0700
Fax Number
person
Provider Business Mailing Address Details
Address
3050 Tweedy Blvd
City
South Gate
State
California
Zip
90280
Phone Number
323-357-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95002989 (California)
Definition
Definition to come...
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