Individual
MARK ANTHONY GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 N LEVI ST APT 2307, VICTORIA, TX 77901-4016
(361) 433-2572
Mailing address
2307 N LEVI ST APT 2307, VICTORIA, TX 77901-4016
(361) 433-2572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2101437
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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