Provider Demographics
NPI:1508678574
Name:GUZMAN, ANGELINA M
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:M
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 OLIVET DR APT A
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8624
Mailing Address - Country:US
Mailing Address - Phone:347-652-9248
Mailing Address - Fax:
Practice Address - Street 1:1154 OLIVET DR APT A
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-8624
Practice Address - Country:US
Practice Address - Phone:347-652-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy