Individual
GUADALUPE LAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
135 E 12TH ST, GROUND FLOOR, NEW YORK, NY 10003-5368
(212) 598-4796
(212) 598-0059
Mailing address
135 E 12TH ST, GROUND FLOOR, NEW YORK, NY 10003-5368
(212) 598-4796
(212) 598-0059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002812
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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