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Individual
MS. KIMBERLY THERIOT GUZMAN
Active
Individual
MS. KIMBERLY THERIOT GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358837801
—
TX
01
—
510011YLPS
WELLMED PTAN
TX
Enumeration date
06/15/2016
Last updated
05/09/2025
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