Individual
STACY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(210) 737-8090
Mailing address
501 FM 3009 APT 2102, SCHERTZ, TX 78154-3271
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320611
MS
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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