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NPI Code Detail

MEDICARE: MARTHA S GUERRA MS

MEDICARE:   MARTHA S GUERRA  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063930022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA S GUERRA MS
Provider Business Mailing Address
First Line : 1188 MISSION ST APT 1812
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-6735
Country : US
Telephone Number : 915-494-0510
Fax Number :
Provider Business Practice Location Address
First Line : 1188 MISSION ST APT 1812
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-6735
Country : US
Telephone Number : 915-494-0510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 07/21/2022

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Directions to “ MARTHA S GUERRA MS” Practice Location

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