Individual
GUADALUPE JACOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
5627 LAUREL CREEK WAY, HOUSTON, TX 77017-6838
(832) 374-9146
Mailing address
8114 GLENSCOTT ST, HOUSTON, TX 77061-2408
(832) 815-9729
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26135295
TX
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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