Provider Demographics
NPI:1053539346
Name:GUIJO, VERONICA (SN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:GUIJO
Suffix:
Gender:F
Credentials:SN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 GREENVILLE PL
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-5247
Mailing Address - Country:US
Mailing Address - Phone:925-243-1385
Mailing Address - Fax:925-243-0127
Practice Address - Street 1:1111 E STANLEY BLVD # D
Practice Address - Street 2:STE112
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4115
Practice Address - Country:US
Practice Address - Phone:925-243-1385
Practice Address - Fax:925-243-0127
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116936164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse