Individual
LEONARDO GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2718 N 5TH ST, PHILADELPHIA, PA 19133-2701
(267) 930-8444
Mailing address
2718 N 5TH ST, PHILADELPHIA, PA 19133-2701
(267) 930-8444
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
35513601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034677880001
PROVIDER NUMBER
PA
Enumeration date
10/19/2018
Last updated
10/19/2018
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