MS. Miriam A. Guadalupe

NPI #1962705335 in Ridgefield, Connecticut

Provider Information

NPI Number: 1962705335
Entity Type: Individual
Name: MS. Miriam A. Guadalupe
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 7, 2010
Last Updated: Dec 7, 2010

Practice Location

Address: 9 FLAT ROCK DR
City: Ridgefield
State: Connecticut
ZIP Code: 06877-5309
Phone: (203) 992-9421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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