Individual
GUADALUPE GUAJARDO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS ASST SLP
Contact information
Practice address
3616 JOBY ST APT 1, EDINBURG, TX 78541-6141
(956) 648-3910
Mailing address
PO BOX 2912, EDINBURG, TX 78540-2912
(956) 648-3910
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34410
TX
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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