Provider Demographics
NPI:1245957869
Name:DE GUZMAN, SYDNEY (LMT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:DE GUZMAN
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 1:7302 NE 18TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-7386
Mailing Address - Country:US
Mailing Address - Phone:136-075-0722
Mailing Address - Fax:
Practice Address - Street 1:7302 NE 18TH ST STE 102
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-7386
Practice Address - Country:US
Practice Address - Phone:360-750-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist