Fajardo, Gudalia

Fajardo, Gudalia is an individual health care provider with primary practice located at 2603 Electric Ave Ste 1 , Port Huron MI 48060-6588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fajardo, Gudalia can be contacted via phone (810) 987-5252.

Contact Information

Primary practice address
2603 Electric Ave Ste 1 Port Huron MI 48060-6588
Fax: (810) 987-2120
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704267837 Michigan

Profile Details

NPI number 1083019012
LBN Legal business name Fajardo, Gudalia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2014
Last updated Feb 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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