Individual
GUADALUPE GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 MAIN ST, DICKSON CTY, PA 18447-1345
(570) 550-0870
Mailing address
259 ACADEMY ST, WILKES BARRE, PA 18702-2337
(570) 550-0870
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
CO300474
PA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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