Individual
MS. SANDRA GUILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.C., LIC.AC.
Contact information
Practice address
10 BIRCH TER, OAKDALE, CT 06370-1705
(860) 303-3717
(860) 444-7917
Mailing address
10 BIRCH TER, OAKDALE, CT 06370-1705
(860) 303-3717
(860) 444-7917
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000319
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061533801
LANDMARK HEALTHCARE ID
CT
Enumeration date
01/25/2007
Last updated
12/18/2008
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