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NPI Code Detail

MEDICARE: ARACELI GUARDADO

MEDICARE:   ARACELI  GUARDADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1255085411
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARACELI GUARDADO
Provider Business Mailing Address
First Line : 440 CAJON ST
Second Line :
City : REDLANDS
State : CA
Zip : 92373-5955
Country : US
Telephone Number : 909-307-5777
Fax Number : 909-307-5776
Provider Business Practice Location Address
First Line : 440 CAJON ST
Second Line :
City : REDLANDS
State : CA
Zip : 92373-5955
Country : US
Telephone Number : 909-307-5777
Fax Number : 909-307-5776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 05/30/2024

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Directions to “ ARACELI GUARDADO ” Practice Location

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