Provider Demographics
NPI:1346607579
Name:GUILMAIN, TAMMY (LMT)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:
Last Name:GUILMAIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BEAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03276-4325
Mailing Address - Country:US
Mailing Address - Phone:603-630-2416
Mailing Address - Fax:
Practice Address - Street 1:379 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5011
Practice Address - Country:US
Practice Address - Phone:603-286-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2862M174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist