Individual
MS. KATHLEEN GUILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
1532 CERRILLOS RD, SUITE C, SANTA FE, NM 87505-3512
(505) 986-9109
Mailing address
14 RAVENS RIDGE TRL, SANTA FE, NM 87505-9203
(505) 989-7635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R36964
NM
225700000X
Massage Therapist
Primary
5318
NM
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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