Provider Demographics
NPI:1528719036
Name:GUZMAN, JASMIN ELIZABETH
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:ELIZABETH
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2541 TURQUOISE CIR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-2158
Mailing Address - Country:US
Mailing Address - Phone:559-356-9493
Mailing Address - Fax:
Practice Address - Street 1:2541 TURQUOISE CIR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-2158
Practice Address - Country:US
Practice Address - Phone:559-356-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-16
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty