VIDMAR IVAN CARRILLO GUZMAN

GEORGETOWN, DE
NPI1780517375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: DE  LG-0013919)
Enumeration Date2026-06-04
Last Update Date2026-06-04
Business Address
VIDMAR IVAN CARRILLO GUZMAN
21444 CARMEAN WAY
GEORGETOWN, DE 19947-4572
Phone number: 302-855-1233
Mailing Address
VIDMAR IVAN CARRILLO GUZMAN
21444 CARMEAN WAY
GEORGETOWN, DE 19947-4572
Phone number: 302-855-1233
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