Individual
GERARDO GUTIERREZ VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 CHELAN AVE, MOXEE, WA 98936-9382
(509) 460-3824
Mailing address
PO BOX 11356, YAKIMA, WA 98909-2356
(509) 460-3824
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC13814
WA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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