EDNAGRACE GUILLEN

SOUTH GATE, CA
NPI1114381936
Professional NameGRACE GUILLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95002989)
Enumeration Date2016-04-07
Last Update Date2016-04-07
Business Address
-- EDNAGRACE GUILLEN NP
3050 TWEEDY BLVD
SOUTH GATE, CA 90280
Phone number: 323-357-0700
Mailing Address
-- EDNAGRACE GUILLEN NP
12727 BRIAN CT
CERRITOS, CA 90703-1117
Phone number: 562-881-6545