Individual
MARIA FAVIOLA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050
(719) 384-5446
(719) 384-5672
Mailing address
100 KENDALL DR, LAMAR, CO 81052
(719) 336-7501
(719) 336-7453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
01/31/2013
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