Individual
GUADALUPE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 E AIRPORT RD, URBANA, IL 61802
(217) 898-5562
Mailing address
PO BOX 17751, URBANA, IL 61803-7751
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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