Healthcare Provider Details

I. General information

NPI: 1891250478
Provider Name (Legal Business Name): MRS. GUADALUPE FLEMATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST STE D
SALINAS CA
93901-3400
US

IV. Provider business mailing address

339 PAJARO ST STE D
SALINAS CA
93901-3400
US

V. Phone/Fax

Practice location:
  • Phone: 831-800-7530
  • Fax: 831-975-5694
Mailing address:
  • Phone: 831-800-7530
  • Fax: 831-975-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: