Provider Demographics
NPI:1730854217
Name:GUACHINO, ROLLENA T (RN)
Entity type:Individual
Prefix:
First Name:ROLLENA
Middle Name:T
Last Name:GUACHINO
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Gender:F
Credentials:RN
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Mailing Address - Street 1:PO BOX 25583
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91185-5583
Mailing Address - Country:US
Mailing Address - Phone:805-719-3700
Mailing Address - Fax:805-852-2636
Practice Address - Street 1:77 ROLLING OAKS DR STE 201
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1018
Practice Address - Country:US
Practice Address - Phone:888-777-1945
Practice Address - Fax:805-413-9099
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2023-11-02
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Provider Licenses
StateLicense IDTaxonomies
CANPF95027567363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner