Individual
KHALILA A GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
930 TALON DR STE 1, O FALLON, IL 62269-1962
(618) 726-1080
(618) 726-1081
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006305
VA
Other
Enumeration date
07/19/2018
Last updated
02/14/2025
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