Provider Demographics
NPI:1164129821
Name:GUARDIA, MARIA FERNANDA (PA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:FERNANDA
Last Name:GUARDIA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3636 N STOCKTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-0514
Mailing Address - Country:US
Mailing Address - Phone:928-757-3680
Mailing Address - Fax:928-757-7224
Practice Address - Street 1:3636 N STOCKTON HILL RD
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-0514
Practice Address - Country:US
Practice Address - Phone:928-757-3680
Practice Address - Fax:928-757-3614
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2024-10-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant