Healthcare Provider Details

I. General information

NPI: 1831084847
Provider Name (Legal Business Name): LIDIA MONICA GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 N MONROE ST
SPOKANE WA
99201-2626
US

IV. Provider business mailing address

12813 E 6TH AVE
SPOKANE VALLEY WA
99216-0537
US

V. Phone/Fax

Practice location:
  • Phone: 509-558-9359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBD61540136
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: