Individual
MISS JOVANNA G GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 833-2300
Mailing address
7709 DEL MAR ST NE, ALBUQUERQUE, NM 87113-2290
(505) 999-0093
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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