Individual
EDWINA ELIZABETH GUTIERREZ-OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2580 MAIN ST NE, LOS LUNAS, NM 87031-6340
(505) 865-3310
(505) 866-1721
Mailing address
2580 MAIN ST NE, LOS LUNAS, NM 87031-6340
(505) 865-3310
(505) 866-1721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008264
NM
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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