Individual
MELANIE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 424-1239
(888) 746-4761
Mailing address
1621 SALT RIVER CT NE, RIO RANCHO, NM 87144-6413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1604
NM
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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