Individual
DIANA GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
2005 W ELM ST, ROGERS, AR 72758-4018
(479) 636-0083
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0000
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
AR
Enumeration date
07/20/2021
Last updated
07/20/2021
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