Provider Demographics
NPI:1013634757
Name:GUERRERO LEON, ANDREA CAROLINA (MS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:CAROLINA
Last Name:GUERRERO LEON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E RIVERFRONT ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-1281
Mailing Address - Country:US
Mailing Address - Phone:651-313-8080
Mailing Address - Fax:
Practice Address - Street 1:111 E RIVERFRONT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-1281
Practice Address - Country:US
Practice Address - Phone:651-313-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program