| Reynalda M De Guzman Llc | |
|
4361 Boniface Pkwy Anchorage AK 99504-4316 | |
| (907) 333-1212 | |
| Not Available |
| Full Name | Reynalda M De Guzman Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4361 Boniface Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Reynalda Deguzman (DOCTOR) |
| Authorized Official Contact | 9073331212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reynalda M De Guzman Llc 4361 Boniface Pkwy Anchorage AK 99504-4316 Ph: () - | Reynalda M De Guzman Llc 4361 Boniface Pkwy Anchorage AK 99504-4316 Ph: (907) 333-1212 |
| NPI Number | 1629495262 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629495262 | NPI | - | NPPES |
| MD 1732 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1732 (Alaska) | Primary |
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