Healthcare Provider Details

I. General information

NPI: 1750681995
Provider Name (Legal Business Name): CHRISTY DANIELLE GUZMAN N.D., EAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ECHO LN
MILL VALLEY CA
94941-3365
US

IV. Provider business mailing address

9 ECHO LN
MILL VALLEY CA
94941-3365
US

V. Phone/Fax

Practice location:
  • Phone: 206-427-8325
  • Fax:
Mailing address:
  • Phone: 206-427-8325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60196426
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number15799
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60185489
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND596
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: