MS. Thalia Celeste Guajardo
MS. Thalia Celeste Guajardo is an Athletic Trainer in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2022.
- Licensed in
- ID
- In the registry since
- 2022
Practice location Address checks out
2704 17th St Apt 104Lewiston, ID 83501-6395
Phone: (208) 286-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (ID) |
|---|
Record details
| NPI number | 1164151312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 5, 2022 |
| Last updated in NPPES | June 5, 2022 |
| Certification date | June 5, 2022 |
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