Individual
LAURIE GUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22635 SW 64TH WAY, BOCA RATON, FL 33428-6004
(561) 483-8741
Mailing address
22635 SW 64TH WAY, BOCA RATON, FL 33428-6004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5167376
FL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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