Individual
REBECCA R GUANAJUATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1115 RONALD REAGAN PKWY, SUITE 136, AVON, IN 46123-6910
(317) 217-2900
(317) 217-2909
Mailing address
1115 RONALD REAGAN PKWY, SUITE 136, AVON, IN 46123-6910
(317) 217-2900
(317) 217-2909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002250A
IN
Other
Enumeration date
01/04/2007
Last updated
08/17/2009
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