Individual
ELLISE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534
Mailing address
1027 SW 118TH CT, MIAMI, FL 33184-2548
(786) 907-6044
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
02/03/2024
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