Individual
MRS. CHRISTINE MARIE GUILLERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS PA-C
Contact information
Practice address
4021 S WALKER AVE STE 201, OKLAHOMA CITY, OK 73109-6977
(405) 246-3950
(844) 689-9671
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(844) 689-9671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1439
OK
363A00000X
Physician Assistant
Primary
1439
OK
363AM0700X
Medical Physician Assistant
2215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071440A
—
OK
Enumeration date
12/14/2006
Last updated
08/25/2022
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