Individual
JOSIAH R GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 434-6049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221189
AZ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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