person
Gudalia Fajardo
Family Nurse Practitioner in Port Huron, Michigan
NPI 1083019012

Gudalia Fajardo is a Family Nurse Practitioner based in Utica, MI and is specialized in Family. Gudalia Fajardo practices in Port Huron, MI. The NPI Number for Gudalia Fajardo is 1083019012 and holds a License No. 4704267837 (Michigan).

The current practice location address for Gudalia Fajardo is 2603 Electric Ave Ste 1, Port Huron, MI and can be reached out via phone at 810-987-5252 and via fax at 810-987-2120.

Location: 2603 Electric Ave Ste 1, Port Huron, MI, 48315-6033
person
Provider Profile Details
NPI Number
1083019012
Provider Name
Gudalia Fajardo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2603 Electric Ave Ste 1, Port Huron, MI, 48315-6033
Phone Number
810-987-5252
Fax Number
810-987-2120
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2603 Electric Ave Ste 1
City
State
Zip
48060-6588
Phone Number
810-987-5252
Fax Number
810-987-2120
person
Provider Business Mailing Address Details
Address
2603 Electric Ave Ste 1
City
State
Zip
48060-6588
Phone Number
810-987-5252
Fax Number
810-987-2120
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704267837 (Michigan)
Definition
Definition to come...
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