NPI | 1922455096 |
---|---|
Other Name | DEAN GUERDET |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 135196) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G135196) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-12-22 |