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NPI Code Detail

MEDICARE: MALAIKA GUTHRIE

MEDICARE:   MALAIKA  GUTHRIE
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
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General Provider Information

NPI Number : 1962234930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALAIKA GUTHRIE
Provider Business Mailing Address
First Line : 3881 SIENNA GREENS TER
Second Line :
City : LAUDERHILL
State : FL
Zip : 33319-7302
Country : US
Telephone Number : 954-612-4199
Fax Number :
Provider Business Practice Location Address
First Line : 4846 N UNIVERSITY DR # 195
Second Line :
City : LAUDERHILL
State : FL
Zip : 33351-4510
Country : US
Telephone Number : 954-612-4199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2024
Last Update Date : 08/17/2024

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Directions to “ MALAIKA GUTHRIE ” Practice Location

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