Individual
LETICIA ROA GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
13925 JAMES GARFIELD ST, MANOR, TX 78653-4081
(512) 694-4878
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1078882
TX
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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