Individual
EVELYN SANTOS GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5047
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 781-1487
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101281737
VA
2085R0202X
Diagnostic Radiology Physician
2024-00767
NC
2085R0202X
Diagnostic Radiology Physician
35.139854
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2018
Last updated
05/28/2024
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