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Guillermo Riestra
Student in an Organized Health Care Education/Training Program in Elizabeth, New Jersey
NPI 1356087860

Guillermo Riestra is a Student in an Organized Health Care Education/Training Program based in Elizabeth, NJ. Guillermo Riestra practices in Elizabeth, NJ. The NPI Number for Guillermo Riestra is 1356087860 and holds a License No. (New Jersey).

The current practice location address for Guillermo Riestra is 240 Williamson St, Elizabeth, NJ and can be reached out via phone at 908-994-5480.

Location: 240 Williamson St, Elizabeth, NJ, 07202-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356087860
Provider Name
Guillermo Riestra
Credential
Provider Entity Type
Individual
Gender
Male
Address
240 Williamson St, Elizabeth, NJ, 07202-3625
Phone Number
908-994-5480
Fax Number
Provider Enumeration Date
05/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Williamson St
City
Elizabeth
State
New Jersey
Zip
07202-3674
Phone Number
908-994-5480
Fax Number
person
Provider Business Mailing Address Details
Address
240 Williamson St
City
Elizabeth
State
New Jersey
Zip
07202-3674
Phone Number
908-994-5480
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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