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Individual

HECTOR MANUEL GUTIERREZ JR.

Active
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Individual

HECTOR MANUEL GUTIERREZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10003370
WA
363A00000X
Physician Assistant
Primary
PA10003370
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202688
LIWA
WA
01
—
0222295
LIWA
WA
01
—
3075GU
BSWA
WA
01
—
3945GU
BSWA
WA
05
—
8323081
—
WA
Enumeration date
06/22/2006
Last updated
04/16/2013
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