Individual
ANDREW GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC07 4040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-3053
(505) 925-0546
Mailing address
10 S WOLFE ST, APT. 203, BALTIMORE, MD 21231-1903
(845) 401-5251
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
05/31/2018
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