Individual
SUCINDA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6191 N STATE HIGHWAY 161 STE 650, IRVING, TX 75038-2250
(972) 812-3299
Mailing address
209 WINDWOOD DR APT 11, PICKENS, SC 29671-2159
(864) 436-7463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
212077
TX
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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