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Justin Andrew De La Guerra, MD
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1164009585

Justin Andrew De La Guerra is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Justin Andrew De La Guerra practices in Fayetteville, NC and has the professional credentials of MD. The NPI Number for Justin Andrew De La Guerra is 1164009585 and holds a License No. (North Carolina).

The current practice location address for Justin Andrew De La Guerra is 1601 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-678-7259.

Location: 1601 Owen Dr, Fayetteville, NC, 28304-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164009585
Provider Name
Justin Andrew De La Guerra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1601 Owen Dr, Fayetteville, NC, 28304-3425
Phone Number
910-678-7259
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-7259
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-7259
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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