Individual
LISETTE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 JOHN MUIR DR STE 100, AMHERST, NY 14228-1144
(800) 543-9311
Mailing address
95 JOHN MUIR DR STE 100, AMHERST, NY 14228-1144
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
729034
NY
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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