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Individual

MANUELA GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 FARRINGTON ST, VAUXHALL, NJ 07088-1307
(973) 762-4944
(973) 763-4955
Mailing address
3 FARRINGTON ST, VAUXHALL, NJ 07088-1307
(973) 762-4944
(973) 763-4955

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G95215160060922
DRIVER'S LICENSE
NJ
Enumeration date
08/18/2020
Last updated
08/18/2020
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