Individual
DR. MERILDA ONYFEL BLANCO-GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 E GRAY ST STE 768, LOUISVILLE, KY 40202-1901
(502) 394-6470
(502) 394-6477
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6356
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2014012979
MO
207RI0200X
Infectious Disease Physician
Primary
52980
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
11/30/2007
Last updated
10/12/2020
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