Individual
MR. ISRAEL GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4097 E 104TH ST, GRANT, MI 49327-8696
(231) 224-3377
(231) 834-5031
Mailing address
4097 E 104TH ST, GRANT, MI 49327-8696
(231) 224-3377
(231) 834-5031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
05/09/2014
Last updated
06/09/2014
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