Individual
JESUS GUARDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAREGIVER
Contact information
Practice address
2167 INNWOOD DR SE, GRAND RAPIDS, MI 49508-5036
(661) 675-9777
Mailing address
2167 INNWOOD DR SE, GRAND RAPIDS, MI 49508-5036
(661) 675-9777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AF410400507
MI
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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