Individual
ANGEL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 E LASALLE ST, COLORADO SPRINGS, CO 80909-2218
(719) 466-4809
(719) 368-8399
Mailing address
7840 BROADSTONE LOOP APT 202, TAMPA, FL 33625-2462
(727) 267-0942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
03/27/2024
Last updated
09/20/2024
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