Individual
CHRISTINA ALYSSA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 N MAIN ST STE 1A, SAN LUIS, AZ 85349
(928) 550-5514
Mailing address
592 COUNTY ROAD 384, GONZALES, TX 78629-6872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
819584
TX
363L00000X
Nurse Practitioner
Primary
AP10578
AZ
363L00000X
Nurse Practitioner
AP134422
TX
Other
Enumeration date
07/19/2017
Last updated
08/08/2018
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