Individual
KRISTA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3816 DODSON CHAPEL RD APT 129, HERMITAGE, TN 37076-3776
(662) 671-2998
Mailing address
3816 DODSON CHAPEL RD APT 129, HERMITAGE, TN 37076-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5842
TN
Other
Enumeration date
01/29/2024
Last updated
04/17/2024
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