Rafael Guzman Garza | Santa Rosa, CA • PECOS Search

Rafael Guzman Garza

Counselor

Behavioral Health & Social Service Providers

1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537

PECOS Enrollment

Based on the most recent information from CMS, provider Rafael Guzman Garza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639394398
Provider Type
Individual
Full Name
Garza, Rafael Guzman
Gender
Female

Sole Proprietor
No
Enumeration Date
4/16/2007
Last Updated
7/7/2014

Contact Information

Practice Location

1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537

Unlisted Fax

Mailing Location

1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer