Individual
ALYCIA MARIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 BANDERA RD, SAN ANTONIO, TX 78238-1986
(210) 647-2709
Mailing address
519 PRUITT AVE, SAN ANTONIO, TX 78204-2549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66835
TX
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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