Provider Demographics
NPI:1538609946
Name:GUZMAN, REBECCA ANN (LVN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4122
Mailing Address - Country:US
Mailing Address - Phone:209-261-0093
Mailing Address - Fax:
Practice Address - Street 1:2306 OAK AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4122
Practice Address - Country:US
Practice Address - Phone:209-261-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN233417164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse