Individual
DOLORES GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 NORWICH AVE, LUBBOCK, TX 79407-1331
(806) 781-8640
Mailing address
2504 NORWICH AVE, LUBBOCK, TX 79407-1331
(806) 781-8640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
516903
TX
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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