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Individual

KATHERINE S DE GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6225 SMITH AVE STE B300, BALTIMORE, MD 21209-3613
(410) 583-2653
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(818) 763-8836

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
774840
CA
363LF0000X
Family Nurse Practitioner
22228
CA
363LF0000X
Family Nurse Practitioner
Primary
R253278
MD

Other

Enumeration date
02/25/2013
Last updated
07/07/2025
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