Individual
GRETCHELL DELACARIDAD SUAREZ GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8033 DIXIE HWY, LOUISVILLE, KY 40258-1344
(502) 937-3155
Mailing address
PO BOX 776351, CHICAGO, IL 60677-2244
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
4010189
KY
363LF0000X
Family Nurse Practitioner
Primary
4010189
KY
Other
Enumeration date
10/06/2023
Last updated
12/07/2023
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