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NPI Code Detail

MEDICARE: MARISSA GUERRERO

MEDICARE:   MARISSA  GUERRERO
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1164370805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA GUERRERO
Provider Business Mailing Address
First Line : 6844 36TH ST
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 92509-1307
Country : US
Telephone Number : 951-823-7409
Fax Number :
Provider Business Practice Location Address
First Line : 6844 36TH ST
Second Line :
City : JURUPA VALLEY
State : CA
Zip : 92509-1307
Country : US
Telephone Number : 951-823-7409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ MARISSA GUERRERO ” Practice Location

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