Individual
MARCIA ANDREA GUAJARDO-HALATCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8620 SW 20TH ST, MIAMI, FL 33155-1009
(305) 562-1221
Mailing address
8620 SW 20TH ST, MIAMI, FL 33155-1009
(305) 562-1221
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11019459
FL
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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