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Nida Guantero Villa

Registered Nurse in Clovis, CA. Individual provider (NPI-1).

NPI number1669293254
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1669293254
Entity type
Individual (NPI-1)
Name
Nida Guantero Villa
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 17, 2024
Certification date
Oct 17, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse769816CAYes

Other names

  • Nida Caberte Guantero (Former Name)

Practice location

2738 Griffith Ave
Clovis, CA 93611-5603

Phone 216-272-8511

Mailing address

2738 Griffith Ave
Clovis, CA 93611-5603

Phone 216-272-8511

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