Individual
AMALIA N/A GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
455 ITHACA CT APT 901, LAS CRUCES, NM 88011-7182
(518) 361-4912
Mailing address
455 ITHACA CT APT 901, LAS CRUCES, NM 88011-7182
(518) 361-4912
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
NM
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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