Guevarra, Mirene
Guevarra, Mirene is an individual health care provider with primary practice located at 425 Diamond Dr , Lake Elsinore CA 92530-4495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Guevarra, Mirene can be contacted via phone (951) 674-4114.Contact Information
Primary practice address
425 Diamond Dr
Lake Elsinore CA 92530-4495
Phone: (951) 674-4114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95018158 | California |
Profile Details
| NPI number | 1649946302 |
|---|---|
| LBN Legal business name | Guevarra, Mirene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2021 |
| Last updated | Aug 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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