Individual
RAY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Mailing address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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