Provider Demographics
NPI:1134880396
Name:GUEVARA, ARGEL VINCENT ABARCAR (VOCATIONAL NURSE)
Entity type:Individual
Prefix:
First Name:ARGEL VINCENT
Middle Name:ABARCAR
Last Name:GUEVARA
Suffix:
Gender:M
Credentials:VOCATIONAL NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 GIBSON DR APT 1212
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5728
Mailing Address - Country:US
Mailing Address - Phone:510-760-2917
Mailing Address - Fax:
Practice Address - Street 1:701 GIBSON DR APT 1212
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5728
Practice Address - Country:US
Practice Address - Phone:510-760-2917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA716130164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty