Individual
MARCUS GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JOHN AVE, NEW CARLISLE, OH 45344-9117
(813) 214-9148
Mailing address
1 JOHN AVE, NEW CARLISLE, OH 45344-9117
(813) 214-9148
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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