| NPI | 1003491648 |
|---|---|
| Other Name | CHARLA ANDREA DEGUZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 13083) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-05-27 |