Individual
AMANDA KANWISCHER GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 764-6973
Mailing address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(210) 842-6957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8276
TX
Other
Enumeration date
10/02/2010
Last updated
03/14/2025
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