Individual
LESLIE IRENE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
5054 W LOOMIS LN, SALT LAKE CITY, UT 84118-6717
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
190785766
UT
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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