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Individual

AUGUSTO VICTOR GUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
759 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4550
(415) 693-6963
Mailing address
759 S VAN NESS AVE, SAN FRANCISCO, CA 94110-1908
(415) 642-4550
(415) 693-6963

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
174400000X
SERVICE PROVIDER SPECIALIST
CA
Enumeration date
04/23/2013
Last updated
04/23/2013
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