Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Jaime Guerrero, MD | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
NPI | 1699748228 | [sources] | |||
Status | not available | [sources] | |||
Address | Columbia City, IN · Huntington, IN · Jeffersonville, IN · Kendallville, IN · Logansport, IN · | [sources] | |||
Last change | Last processed | First seen |
Providers who have been terminated for cause from Indiana Medicaid and CHIP.
United States of America · FSSA
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