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Guillermo Madrigal

Adult Companion in Modesto, CA. Individual provider (NPI-1).

NPI number1043679962
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1043679962
Entity type
Individual (NPI-1)
Name
Guillermo Madrigal
Sex
Male
Sole proprietor
No
Enumeration date
Feb 19, 2016
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

1620 Cummins Dr
Modesto, CA 95358-6400

Phone 209-576-1750

Mailing address

1620 Cummins Dr
Modesto, CA 95358-6400

Phone 209-576-1750

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