Individual
HENRY GUOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1529 S 5TH ST, QUINCY, IL 62301-7223
(908) 344-2888
Mailing address
1529 S 5TH ST, QUINCY, IL 62301-7223
(908) 344-2888
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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