Individual
BENNY RIGOBERTO GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309208
NY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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