Individual
BERENIZES AMELIA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SHADOW LN, IRVING, TX 75060-5749
(972) 533-3801
Mailing address
1600 SHADOW LN, IRVING, TX 75060-5749
(972) 533-3801
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309193
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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