Individual
MRS. AIDA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
516 STIMPSON ST, BAYTOWN, TX 77520-7063
(281) 683-0578
Mailing address
516 STIMPSON ST, BAYTOWN, TX 77520-7063
(281) 683-0578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
102674
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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