Individual
ELISEO ESPARZA GUADARRAMA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 E 11TH ST, SCOTTSBLUFF, NE 69361-3633
(308) 641-2437
Mailing address
802 E 11TH ST, SCOTTSBLUFF, NE 69361-3633
(308) 641-2437
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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