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Individual

GUADALUPE FERNANDEZ BACA VACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11100 EUCLID AVE, DEPARTMENT OF NEUROLOGY MAIL STOP HH 5040, CLEVELAND, OH 44106-1716
(216) 844-5550
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7249

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.125959
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0134499
OH
Enumeration date
04/05/2011
Last updated
12/18/2020
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