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Individual

ISABELLA GUAJARDO SANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(912) 087-0421
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A180845
CA
208600000X
Surgery Physician
Primary
E-18123
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2019
Last updated
08/27/2024
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