Individual
KATTY GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 SW 117TH ST, PINECREST, FL 33156-4558
(786) 280-1212
Mailing address
7400 SW 117TH ST, PINECREST, FL 33156-4558
(786) 280-1212
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3325372
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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