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Individual

MARIO ALBERTO GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
1350 JACKE ST. SE, SUITE 104, RIO RANCHO, NM 87124
(505) 238-2997
(505) 544-4631
Mailing address
1350 JACKE ST. SE, SUITE 104, RIO RANCHO, NM 87124
(505) 238-2997
(505) 544-4631

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-03296
NM

Other

Enumeration date
07/31/2017
Last updated
09/12/2019
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