Individual
VANESA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 W 2ND ST, SIOUX CITY, IA 51103-3530
(712) 212-4937
Mailing address
1404 W 2ND ST, SIOUX CITY, IA 51103-3530
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
IA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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