Individual
COURTNI GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1160 VARNUM ST NE, WASHINGTON, DC 20017-2107
(202) 832-7007
Mailing address
17706 KING WILLIAM CT, OLNEY, MD 20832-2307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004328
MD
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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