Most Relevant Information
Provider Data
| NPI Number: | 1003633132 |
| Provider Name: | JENNIFER LYNN GUZMAN DNP, RN, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 95032183 |
Most Important Dates
| Enumeration Date: | 09/20/2024 |
| Last Updated: | 10/04/2024 |
Provider Practice Location
415 W ROUTE 66 STE 202
GLENDORA
CA
917404335
Practice Location Phone/Fax
| Phone: | 7147263623 |
| Fax: |
Provider Mailing Location
415 W ROUTE 66 STE 202
GLENDORA
CA
917404335
Provider Mailing Phone/Fax
| Phone: | 6269634467 |
| Fax: |