Individual
MARY LAGUARDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 GAYER DR, MEDINA, OH 44256-2901
(330) 723-1663
Mailing address
841 GAYER DR, MEDINA, OH 44256-2901
(330) 723-1663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
08197
OH
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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