Individual
ABRAHAM ALBERTO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8687 E VIA DE VENTURA, SCOTTSDALE, AZ 85258-3347
(480) 516-1405
Mailing address
8727 N 31ST AVE, PHOENIX, AZ 85051-3925
(480) 516-1405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050050
AZ
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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