Individual
MEDDENNEATH GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 KINWALL PL APT 2C, NOTTINGHAM, MD 21236-3333
(443) 509-5638
Mailing address
7 KINWALL PL APT 2C, NOTTINGHAM, MD 21236-3333
(443) 509-5638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019042-01
NY
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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