Individual
ERIN RENEE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3524 NW 56TH ST, OKLAHOMA CITY, OK 73112-4518
(405) 606-6937
Mailing address
14025 N EASTERN AVE APT 1819, EDMOND, OK 73013-5767
(580) 551-9603
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2769
OK
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2022
Last updated
08/21/2023
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