Provider Demographics
NPI:1750681995
Name:GUZMAN, CHRISTY DANIELLE (ND, EAMP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:DANIELLE
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:ND, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ECHO LN
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3365
Mailing Address - Country:US
Mailing Address - Phone:206-427-8325
Mailing Address - Fax:
Practice Address - Street 1:9 ECHO LN
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3365
Practice Address - Country:US
Practice Address - Phone:206-427-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60196426171100000X
CA15799171100000X
WANT60185489175F00000X
CAND596175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist