Individual
AMGIE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
655 OVERTON GROVE WAY APT 226, BRANDON, FL 33511-2392
(786) 369-6932
Mailing address
655 OVERTON GROVE WAY APT 226, BRANDON, FL 33511-2392
(786) 369-6932
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314592
FL
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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