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NPI Code Detail

MEDICARE: RAMONA L GUZMAN NP

MEDICARE: RAMONA L GUZMAN NP
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
1163W00000XRegistered NurseRN318531CA
2363LF0000XFamily Nurse Practitioner10979CA

General Provider Information

NPI Number : 1578554150
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA L GUZMAN NP
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 2823 FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1324
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/17/2023

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