Individual
GUADALUPE MUNGUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-4913
(817) 321-2920
Mailing address
5350 FOSSIL CREEK BLVD APT 828, HALTOM CITY, TX 76137-6237
(817) 605-8615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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