Individual
XAVIER GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W WASHINGTON ST, EAST PEORIA, IL 61611-2416
(801) 879-5298
Mailing address
201 W WASHINGTON ST, EAST PEORIA, IL 61611-2416
(801) 879-5298
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
061018057
IL
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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