Individual
KELLY MARYANN GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11836 SW 210TH ST, MIAMI, FL 33177-7005
(786) 280-0090
Mailing address
11836 SW 210TH ST, MIAMI, FL 33177-7005
(786) 280-0090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2013
Last updated
05/25/2013
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