Individual
MR. DOMINIQUE KEITH-DAVID GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6700 ALMA RD, MCKINNEY, TX 75070-1275
(469) 600-5699
Mailing address
7201 HENNEMAN WAY APT 173, MCKINNEY, TX 75070-1880
(469) 600-4699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127485
TX
Other
Enumeration date
09/13/2020
Last updated
03/15/2022
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