Individual
JESUS GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13336 INDUSTRIAL RD STE 101, OMAHA, NE 68137-1124
(402) 895-4000
(402) 496-4209
Mailing address
13336 INDUSTRIAL RD STE 101, OMAHA, NE 68137-1124
(402) 895-4000
(402) 496-4209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1497
NE
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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