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Individual

MATTHEW GUANZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1132 N CHURCH ST STE 101, GREENSBORO, NC 27401-1040
(336) 398-3988
Mailing address
203 PRESERVE DR, LYNCHBURG, VA 24503-2945
(434) 851-6209

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024178663
VA

Other

Enumeration date
02/04/2021
Last updated
02/04/2021
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