Organization
GLORY GUERRERO ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY IVELISSE GUERRERO ARNP (NURSE PRACTITIONER)
(772) 342-5096
Entity
Organization
Contact information
Practice address
2277 SE LENNARD RD, PORT ST LUCIE, FL 34952-6889
(772) 342-5096
Mailing address
2272 SE LUCAYA ST, PORT ST LUCIE, FL 34952-6820
(772) 342-5096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ARNP9202595
FL
Other
Enumeration date
03/22/2008
Last updated
03/22/2008
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