Lisette Guerrero
Specialist/Technologist, Athletic Trainer in Fresno, TX. Individual provider (NPI-1).
NPI number1164118477
StatusActive
Last updated in NPPESMay 5, 2023
Details
- NPI
- 1164118477
- Entity type
- Individual (NPI-1)
- Name
- Lisette Guerrero
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2023
- Certification date
- May 5, 2023
- Last updated
- May 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
411 Renfro Burford RdFresno, TX 77545-7875
Phone 347-384-0245
Mailing address
1011 Sheridan Ave Apt G3Bronx, NY 10456-6382
Phone 347-384-0245
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