Individual
BLANCA LIZZETH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 INDIANA AVE STE 665, WICHITA FALLS, TX 76301-6718
(940) 432-0588
Mailing address
200 MLK JR BLVD, WICHITA FALLS, TX 76301-1152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1001623
TX
Other
Enumeration date
06/09/2023
Last updated
04/11/2024
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