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Rebeca Guajardo, CPO, LPO

in Houston, TX. Individual provider (NPI-1).

NPI number1982018404
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1982018404
Entity type
Individual (NPI-1)
Name
Rebeca Guajardo
Credential
CPO, LPO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2014
Last updated
Mar 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X 49-12156TXYes
224P00000X ProsthetistLPO49TX

Practice location

11381 Meadowglen Ln
Houston, TX 77082-6664

Phone 281-589-2040 · Fax 281-589-2058

Mailing address

11381 Meadowglen Ln
Houston, TX 77082-6664

Phone 281-589-2040 · Fax 281-589-2058

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