Guajardo, Thalia Celeste

Guajardo, Thalia Celeste is an individual health care provider with primary practice located at 2704 17Th St Apt 104 , Lewiston ID 83501-6395. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Guajardo, Thalia Celeste can be contacted via phone (208) 286-5366.

Contact Information

Primary practice address
2704 17Th St Apt 104 Lewiston ID 83501-6395
Phone: (208) 286-5366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Idaho

Profile Details

NPI number 1164151312
LBN Legal business name Guajardo, Thalia Celeste
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2022
Last updated Jun 5th, 2022 - about 2 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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