Guerra, Iliana

Guerra, Iliana is an sole proprietor health care provider with primary practice located at 2302 E 28Th St , Mission TX 78574-1910. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Guerra, Iliana can be contacted via phone (956) 458-6156.

Contact Information

Primary practice address
2302 E 28Th St Mission TX 78574-1910
Phone: (956) 458-6156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT07323 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07323 Texas

Profile Details

NPI number 1174645998
LBN Legal business name Guerra, Iliana
Credentials RD.CSP.LD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated May 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174645998 NPPES
Texas MEDICAID 178789701

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