Individual
MS. MICHELLE GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 GEORGE DIETER, STE 106 #614, EL PASO, TX 79936
(915) 538-8690
Mailing address
1505 GEORGE DIETER, STE 106 #614, EL PASO, TX 79936
(915) 538-8690
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/31/2023
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