Provider Demographics
NPI:1629260120
Name:GUILLEN, IRMA YOLANDA I
Entity Type:Individual
Prefix:MS
First Name:IRMA
Middle Name:YOLANDA
Last Name:GUILLEN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:YOLANDA
Other - Last Name:GUILLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1191 CENTRAL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2253
Mailing Address - Country:US
Mailing Address - Phone:925-634-4445
Mailing Address - Fax:925-634-6235
Practice Address - Street 1:1191 CENTRAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2253
Practice Address - Country:US
Practice Address - Phone:925-634-4445
Practice Address - Fax:925-634-6235
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker