Individual
MS. SHANNA DOMINICA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LTC HOME CARE, LLC
Contact information
Practice address
605 FOX LN SE, ALBUQUERQUE, NM 87123-3546
(505) 234-4272
Mailing address
605 FOX LN SE, ALBUQUERQUE, NM 87123-3546
(505) 234-4272
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NM
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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