MR. Pedro Vivente Guachichulca, CASAC

NPI #1487803060 in New York, New York

Provider Information

NPI Number: 1487803060
Entity Type: Individual
Name: MR. Pedro Vivente Guachichulca, CASAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Credential: CASAC
Enumeration Date: Sep 18, 2008
Last Updated: Sep 18, 2008

Practice Location

Address: 2367 2ND AVE
City: New York
State: New York
ZIP Code: 10035-3108
Phone: (212) 876-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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