Individual
MISS LUPE GUEVARA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W 57TH ST, NEW YORK, NY 10019-3320
(212) 632-4726
Mailing address
9413 117TH ST, JAMAICA, NY 11419-1201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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