Individual
GUADALUPE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
215 JO ANN LN, BROWNSVILLE, TX 78520-4524
(956) 621-9182
Mailing address
215 JO ANN LN, BROWNSVILLE, TX 78520-4524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/24/2018
Last updated
04/08/2020
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