Individual
GUADALUPE VILLAVICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 S KIMBALL ST, GRAND ISLAND, NE 68801-7920
(308) 383-4402
Mailing address
924 S KIMBALL ST, GRAND ISLAND, NE 68801-7920
(308) 383-4402
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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