Individual
ERICA M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
(210) 804-0193
Mailing address
122 MATEO LN, SAN ANTONIO, TX 78237-4006
(210) 587-9412
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340422
TX
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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