Individual
MISS MARTHA GUARDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
311ZA0620X
Contact information
Practice address
5689 GENTIAN CT SE, KENTWOOD, MI 49508-6403
(616) 325-0222
Mailing address
5689 GENTIAN CT SE, KENTWOOD, MI 49508-6403
(616) 325-0222
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410381126
MI
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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