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Individual

KIMBERLY ANN GUAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
12709 TOEPPERWEIN RD STE 101, LIVE OAK, TX 78233-3259
(210) 625-4733
(210) 625-4734
Mailing address
PO BOX 4585, MSC#700, HOUSTON, TX 77210-4585
(210) 625-4733
(210) 625-4734

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144558
TX

Other

Enumeration date
03/04/2020
Last updated
08/08/2022
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