Individual
LISA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13242 WOOD CLIMB ST, SAN ANTONIO, TX 78233-5065
(970) 397-6999
Mailing address
13242 WOOD CLIMB ST, SAN ANTONIO, TX 78233-5065
(970) 397-6999
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332112
TX
Other
Enumeration date
02/16/2018
Last updated
03/17/2018
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