MS. Thalia Celeste Guajardo

NPI #1164151312 in Lewiston, Idaho

Provider Information

NPI Number
1164151312
Entity Type
Individual
Name
MS. Thalia Celeste Guajardo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jun 5, 2022
Last Updated
Jun 5, 2022

Practice Location

Address
2704 17TH ST APT 104
State
Idaho
ZIP Code
83501-6395
Phone
(208) 286-5366

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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