Provider Demographics
NPI:1063215556
Name:GUERRERO-REYNALDO, DOLORES BONNIE (LVN)
Entity type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:BONNIE
Last Name:GUERRERO-REYNALDO
Suffix:
Gender:
Credentials:LVN
Other - Prefix:MISS
Other - First Name:DOLORES
Other - Middle Name:BONNIE
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:132 N WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-2464
Mailing Address - Country:US
Mailing Address - Phone:626-731-2237
Mailing Address - Fax:
Practice Address - Street 1:762 GRISWOLD AVE
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2105
Practice Address - Country:US
Practice Address - Phone:747-500-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA749743164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse