Individual
MRS. HELEN DOMINGO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 W MULBERRY DR, CHANDLER, AZ 85286-6958
(480) 857-8410
(480) 857-8410
Mailing address
11642 E REGAL CT, CHANDLER, AZ 85249-4545
(480) 205-4018
(480) 857-7015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH6113
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALH6113
STATE
AZ
Enumeration date
09/07/2007
Last updated
09/07/2007
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