Individual
JUAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3331 DEL REY BLVD, LAS CRUCES, NM 88012-7713
(575) 373-1033
(575) 373-1265
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59964
NM
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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