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Individual

MARIA N GUEVARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 W COURT ST, PASCO, WA 99301-3737
(509) 547-2204
(509) 545-3960
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
(509) 545-3960

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00043989
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8407335
WA
Enumeration date
05/19/2006
Last updated
09/10/2019
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