Provider Demographics
NPI:1558703496
Name:GUZMAN, JOCELYN MARIE
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MARIE
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 GLENROSE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-4328
Mailing Address - Country:US
Mailing Address - Phone:626-396-5955
Mailing Address - Fax:
Practice Address - Street 1:3126 GLENROSE AVE
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-4328
Practice Address - Country:US
Practice Address - Phone:626-396-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner