Individual provider · Type 1 NPI

Josue Guadarrama

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1699229930 Active

Practice location

20 N San Pedro Rd, Suite 2021
San Rafael, CA 94903-4188

Mailing address

3202 S Timber St
Santa Ana, CA 92707-4441

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699229930

Josue Guadarrama's National Provider Identifier is 1699229930, issued on Aug 3, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 3, 2016.