Individual
JESSICA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 N LAS VEGAS BLVD, NORTH LAS VEGAS, NV 89030-5756
(702) 642-5318
Mailing address
5376 CHICA WAY, LAS VEGAS, NV 89120-2019
(702) 419-2856
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT04538
NV
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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