Individual
KATERY GUADALUPE CORTES GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13951 MOORPARK ST APT 208, SHERMAN OAKS, CA 91423-3499
(818) 747-5730
Mailing address
13951 MOORPARK ST APT 208, SHERMAN OAKS, CA 91423-3499
(818) 747-5730
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F5226022
CA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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