Individual
MR. HORACIO GOMEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225700000X
Massage Therapist
Primary
11938
OR
Other
Enumeration date
05/31/2006
Last updated
09/10/2012
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