Individual
MARIEL GUADALUPE BARRAZA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3245
Mailing address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3245
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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