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NPI Code Detail

MEDICARE: AMIROSE DE GUZMAN

MEDICARE:   AMIROSE  DE GUZMAN
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
1183500000XPharmacist16884NV

General Provider Information

NPI Number : 1194140343
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIROSE DE GUZMAN
Provider Business Mailing Address
First Line : 10613 ENTRANCE ARCH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89179-1813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7405 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3605
Country : US
Telephone Number : 702-407-2524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2014
Last Update Date : 02/25/2014

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Directions to “ AMIROSE DE GUZMAN ” Practice Location

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