Individual
RAMONA GUTIERRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
4449 N 12TH ST, SUITE A1, PHOENIX, AZ 85014-4596
(602) 279-1427
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987654
—
AZ
Enumeration date
04/10/2007
Last updated
03/18/2014
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