Individual
GUADALUPE TEJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2300 W 84TH ST STE 105, HIALEAH, FL 33016-5771
(786) 666-0507
(786) 666-0429
Mailing address
2300 W 84TH ST STE 105, HIALEAH, FL 33016-5771
(786) 666-0507
(786) 666-0419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763223100
—
FL
Enumeration date
06/16/2006
Last updated
07/20/2016
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