Individual
MARIA VICTORIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2702 MONROE ST STE 110, MADISON, WI 53711-1896
(608) 772-0121
Mailing address
4250 WARWICK WAY, MADISON, WI 53711-3856
(608) 772-0121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
625-146
WI
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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