Khalila A Guzman, PA Valid NPI

Individual provider · Medical Physician Assistant · O Fallon, IL

NPI

1265919526

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

0110006305 (VA)

Sex

Female

Sole proprietor

No

Enumerated

2018-07-19

Last updated

2025-02-14