Individual
MITZI GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
343 E. MAIN AVE., BREWSTER, WA 98812
(509) 689-2225
Mailing address
401 S 3RD STREET, BREWSTER, WA 98812
(509) 449-0562
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MA 60219386
WA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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