Guillory, Desire
Guillory, Desire is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Guillory, Desire can be contacted via phone (215) 590-4923.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-4923
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | MT230715 | Pennsylvania |
Profile Details
NPI number | 1912586199 |
---|---|
LBN Legal business name | Guillory, Desire |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2021 |
Last updated | May 27th, 2024 - about last year |
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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