Individual
JACKIE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCAR
Contact information
Practice address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
(231) 535-2822
Mailing address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
(231) 758-4566
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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