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Individual

DR. ISABELITA E GUADIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24700 LORAIN RD, SUITE 104, NORTH OLMSTED, OH 44070-2088
(440) 716-1283
(440) 716-1605
Mailing address
24700 LORAIN RD, SUITE 104, NORTH OLMSTED, OH 44070-2088
(440) 716-1283
(440) 716-1605

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-044904
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000186288
ANTHEM
OH
01
0641943
BCMH
OH
05
0641943
OH
01
102430
KAISER
OH
01
341086808
TRICARE
OH
01
341086808026
CARESOURCE
OH
01
4007324
AETNA
OH
01
50881
QUALCHOICE
OH
01
F44904
SUMMACARE
OH
Enumeration date
03/17/2006
Last updated
07/10/2008
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