Provider Demographics
NPI:1164661997
Name:HERNANDEZ GUZMAN, MARGARITA (NMD)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:HERNANDEZ GUZMAN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6233
Mailing Address - Country:US
Mailing Address - Phone:928-783-2144
Mailing Address - Fax:
Practice Address - Street 1:1320 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6233
Practice Address - Country:US
Practice Address - Phone:928-783-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1073175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath