Individual
MR. MARIO NESTOR BALDERIAN GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3320 BENSON AVE, BALTIMORE, MD 21227-1035
(410) 646-6536
Mailing address
427 S ELLWOOD AVE, BALTIMORE, MD 21224-2213
(770) 815-6913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24390
MD
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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