Organization
REYNALDA M DE GUZMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDA DEGUZMAN (DOCTOR)
(907) 333-1212
Entity
Organization
Contact information
Practice address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1212
Mailing address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1732
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 1732
—
AK
Enumeration date
03/20/2014
Last updated
02/03/2015
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