Individual
SEAN P GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 W 10TH AVE STE 102, KENNEWICK, WA 99336-6302
(509) 221-5910
(509) 221-5912
Mailing address
320 W 10TH AVE STE 102, KENNEWICK, WA 99336-6302
(509) 221-5910
(509) 221-5912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00044613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8430183
—
WA
Enumeration date
05/18/2006
Last updated
02/14/2020
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