Individual
MRS. MYRANDA JAYDE GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 SOMERVILLE RD SE, DECATUR, AL 35601-4351
(256) 341-0152
Mailing address
108 HEALEY DR, MADISON, AL 35756-4073
(256) 777-8295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05190115
AL
Other
Enumeration date
05/11/2019
Last updated
05/04/2020
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