Individual
MANUEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 S MAIN ST, ATE. A, LAS CRUCES, NM 88005-3113
(915) 240-0624
Mailing address
2205 S MAIN ST, ATE. A, LAS CRUCES, NM 88005-3113
(915) 240-0624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
06/19/2012
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