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Guadalupe Villicana
Student in an Organized Health Care Education/Training Program in Santa Cruz, California
NPI 1144811571

Guadalupe Villicana is a Student in an Organized Health Care Education/Training Program based in Santa Cruz, CA. Guadalupe Villicana practices in Santa Cruz, CA. The NPI Number for Guadalupe Villicana is 1144811571 and holds a License No. (California).

The current practice location address for Guadalupe Villicana is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4019.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144811571
Provider Name
Guadalupe Villicana
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4019
Fax Number
Provider Enumeration Date
01/28/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4019
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4019
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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