Individual
MARIA MERCEDES GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
046190
CT
208000000X
Pediatrics Physician
Primary
2013-01597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046190
STATE LICENSE
CT
01
—
2013-01597
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
11/17/2006
Last updated
01/22/2015
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