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NPI Code Detail

MEDICARE: MS. MARTA GUERRERO

MEDICARE: MS. MARTA 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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1649391574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTA GUERRERO
Provider Business Mailing Address
First Line : 4590 ALLSTATE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4590 ALLSTATE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1702
Country : US
Telephone Number : 909-599-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/25/2023

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Directions to “ MS. MARTA GUERRERO ” Practice Location

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