Guillermo Guillen Bastidas, SURGICAL ASSISTANT

NPI #1912614819 in Mokena, Illinois

Provider Information

NPI Number
1912614819
Entity Type
Individual
Name
Guillermo Guillen Bastidas, SURGICAL ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
SURGICAL ASSISTANT
Enumeration Date
Oct 31, 2022
Last Updated
Oct 31, 2022

Practice Location

Address
19015 S JODI RD STE H
City
Mokena
ZIP Code
60448-8534
Phone
(866) 787-4452

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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