Individual
GUADALUPE VEGA JACINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 CESAR E CHAVEZ AVE, PONTIAC, MI 48342-1094
(248) 212-7885
Mailing address
196 CESAR E CHAVEZ AVE, PONTIAC, MI 48342-1094
(248) 212-7885
(248) 359-8753
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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